DR. DANIEL CRAIG BOTHWELL (D.O.) – Family Medicine Physician, NPI 1053762583
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
25 OSTEOPATHIC MANIPULATIVE MEDICINE in AK
Provider Addresses for DR. DANIEL CRAIG BOTHWELL (D.O.)
USA MEDDAC-AK ATTN: MCUC-MMD-QM (CREDENTIALS)
1060 GAFFNEY RD
FT. WAINWRIGHT, AK 997037440
Phone: (907) 361-5603
Type: Mailing
3406 ALDER AVE
FORT WAINWRIGHT, AK 99703
Phone: (073) 531-2389
Type: Location
2817 REILLY ST
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 283107324
Phone: (910) 907-8922
Fax: (910) 907-6099
Type: Mailing
PO BOX 6010
GREAT FALLS, MT 594066010
Phone: (406) 455-5000
Type: Mailing
3406 Alder Ave
Fort Wainwright, AK 99703
Phone: (073) 531-2389
Type: Location
Womack Army Medical Center, 2817, Reilly Road, Normandy/Bastogne Gables, Cumberland County, North Carolina, 28310, United States
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone: (910) 907-8922
Fax: (910) 907-6099
Type: Location
1645 VANDELAY AVE STE 301
HELENA, MT 596013929
Phone: (406) 389-2520
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230731002114 | I | Osteopathic Manipulative Medicine | AK | TBD |
| I20250922002947 | I | Family Practice | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99703)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AK | |
| Nurse Practitioner | AK | |
| Physician Assistant | KY | |
| Nurse Practitioner | AK | |
| Family Practice | AK | |
| Nurse Practitioner | AK |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.