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

Dr. Cody Bryan Boswell, DC

Individual provider Chiropractor · NPI 1700733318

Dr. Cody Bryan Boswell, DC is a Chiropractic in St Augustine, Florida. Practices with Southeast Orthopedic Specialists LLC, a 145-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Licensed in
FL
In the registry since
2026
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1690 US Highway 1 S Ste F
St Augustine, FL 32084-6024
Phone: (904) 634-0640
Fax: (904) 634-0203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 45 Groover Loop, St Augustine, FL 32086-6548 — (904) 634-0640
  • 300 Saint Elizabeth Way Ste 210, St Johns, FL 32259-1153 — (904) 634-0640

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CH15839 (FL)

Record details

NPI number1700733318
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 12, 2026
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Southeast Orthopedic Specialists Llc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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