Bohler Family Practice PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

BOHLER FAMILY PRACTICE PC

Practice address

128 North Parker Ave
Brooklet, GA 30415

Phone

(912) 842-2101

Fax

(921) 842-2103

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

William Scott Bohlke, MD

Title

President

Phone

(912) 842-2101

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1811049679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "304150487",
            "telephone_number": "912-842-2101",
            "fax_number": "921-842-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NORTH PARKER AVE",
            "city": "BROOKLET",
            "state": "GA",
            "postal_code": "30415",
            "telephone_number": "912-842-2101",
            "fax_number": "921-842-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOHLER FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "BOHLKE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "912-842-2101",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085002953G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00593557D",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648007516A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Scott Bohlke, MD
• Caroline U Bowman, MED CCC SCP
• Kaitlin Brannen, PHARMD
• Rene B Childree, MSN RN CS FNP
• Circle of Hands Counseling, LLC

• All providers in Brooklet, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.