BOHLER FAMILY PRACTICE PC
NPI 1811049679
Clinic/Center - Primary Care in Brooklet, GA
About Bohler Family Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOHLER FAMILY PRACTICE PC (NPI 1811049679) is a healthcare organization registered as a primary care in Brooklet, Georgia and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through March 29, 2027 and lists William Scott Bohlke, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D0696733
Bohler Family Practice PC · Brooklet, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLET, GA 30415
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bohler Family Practice PC's NPI number?
The NPI number for Bohler Family Practice PC is 1811049679. It was assigned to this organization in the NPPES registry on January 18, 2007.
Where is Bohler Family Practice PC located?
Bohler Family Practice PC is located at 128 North Parker Ave, Brooklet, GA 30415. The listed phone number is (912) 842-2101.
What is Bohler Family Practice PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Bohler Family Practice PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D0696733) is associated with this NPI, valid through March 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bohler Family Practice PC was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bohler Family Practice Pc · NPI 1811049679
Primary Care organization in Brooklet, Georgia. Organization record, active in the CMS NPPES registry since January 18, 2007.
## Identity
- **NPI:** 1811049679 (Entity type: Organization)
- **Enumerated:** January 18, 2007
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** William Bohlke, PRESIDENT
## Practice location
- **Address:** 128 NORTH PARKER AVE, Brooklet, GA 30415
- **Phone:** (912) 842-2101 · **Fax:** (921) 842-2103
## Record status
- **NPPES last updated:** January 8, 2015
- **Other identifiers:** Medicare PIN 08BBQDV (GA); Medicaid 00593557D (GA); Medicare UPIN F76385 (GA); and 5 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1811049679) · Data from the CMS NPPES public registry.