Individual provider Active NPI

Vivie Rumen Bojilov, DC

  • Chiropractor
  • Prosser, WA
National Provider Identifier
1972143386
Registry record updated Jan 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
61022429 Issued in WA
Practice address
1209 Meade Ave
Prosser, WA 99350-1423
Phone
(509) 786-3637
Fax
(509) 786-7385
NPI assigned
Jan 14, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 61022429 WA Primary

Addresses

Primary practice location

1209 Meade Ave
Prosser, WA 99350-1423

Mailing address

1209 Meade Ave
Prosser, WA 99350-1423
Phone (509) 786-3637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61022429WAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1972143386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501423",
            "telephone_number": "509-786-3637",
            "fax_number": "509-786-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 MEADE AVE",
            "city": "PROSSER",
            "state": "WA",
            "postal_code": "993501423",
            "telephone_number": "509-786-3637",
            "fax_number": "509-786-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJILOV",
        "first_name": "VIVIE",
        "middle_name": "RUMEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61022429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosser, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.