Active NPI
Harold Clifford Bost Jr., D.C.
- Chiropractor
- Peachtree City, GA
National Provider Identifier
1962431221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 04673
- Practice address
- 1117 Crosstown CT
Peachtree City, GA 30269-2951 - Phone
- (770) 631-3822
- Fax
- (770) 486-3515
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 04673 | GA | Primary |
Addresses
Primary practice location
1117 Crosstown CT
Peachtree City, GA 30269-2951
Mailing address
1117 Crosstown CT
Peachtree City, GA 30269-2951
Phone (770) 631-3822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111205000561 | GA | Practitioner - Chiropractic | 8022155183 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04673 | GA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962431221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 CROSSTOWN CT",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692951",
"telephone_number": "770-631-3822",
"fax_number": "770-486-3515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 CROSSTOWN CT",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302692951",
"telephone_number": "770-631-3822",
"fax_number": "770-486-3515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOST",
"first_name": "HAROLD",
"middle_name": "CLIFFORD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "04673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.