Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew Bostaph, MD

Individual provider Diagnostic Radiology Physician · NPI 1023190097

Dr. Andrew Bostaph, MD is a Diagnostic Radiology in Fort Bragg, North Carolina. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 2000, 26 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
26
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone: (910) 907-8707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 2007-01814 (NC)

Record details

NPI number1023190097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address2817 Rock Merritt Ave, Fort Bragg, NC 28310-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 2000 (26 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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