Courtney Marie Bolen, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010396 Issued in MI

Practice address

651 E M 55
Tawas City, MI 48763-9238

Phone

(989) 984-5100

Fax

(989) 305-6419

NPI assigned

Jan 14, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Chiropractic

Education

National College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fairview Chiropractic PLLC

  • Chiropractor
  • Fairview, MI
  • NPI 1467674440
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1760848162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639238",
            "telephone_number": "989-984-5100",
            "fax_number": "989-305-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 E M 55",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639238",
            "telephone_number": "989-984-5100",
            "fax_number": "989-305-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "COURTNEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Blattert
• John P Blocksom, D.O.
• Julie Blust
• Abigail Lynn Boensch, PT, DPT
• Gregory A Bohn, MD
• Mark Bowers, DO
• Tammy Brandt, RN
• Darion Lea Briggs
• Tricia Briggs
• Emily J Bromm, PTA

• Chiropractor in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.