Muris Ray Boshell Jr., D.C.
Individual provider Active NPI Chiropractor · Haleyville, AL
NPI 1932295698 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1932295698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1461 (AL)
- Practice address
- 8177 Hwy 13
Haleyville, AL 35565 - Phone
- (205) 486-2000
- Fax
- (205) 486-4406
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Box B
Haleyville, AL 35565
PO Box B
Haleyville, AL 35565
PO Box B
Haleyville, AL 35565-0077
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050810001207 | AL | Practitioner - Chiropractic | 5991734295 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1461 | AL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boshell Chiropractic Clinic | Chiropractor | Current |
Accepting new patients |
Locations
8177 Highway 13
Haleyville, AL 35565
Phone (205) 486-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1461 | AL | Yes |
Addresses
Primary practice location
8177 Hwy 13
Haleyville, AL 35565
Mailing address
P.O. Box B
Haleyville, AL 35565
Phone (205) 486-2000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51001747 | Other | AL | BCBS PROVIDER NUMBER |
Other providers in Haleyville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.