Apply

Membership Level change

You have selected the AOA - Physician membership level.

$189.00.

Create An Account Already have an account? Log in here
LEAVE THIS BLANK

Contact Information

PLEASE READ: If you are a NOT a DO initially certified by an AOA member board click here to go to the National Board of Physicians and Surgeons main site.

Note: This application takes approximately 15 minutes and you cannot save the application. We recommend you allocate adequate time prior to beginning the application.

*
*

Please enter your credentials below to be included on your certificate. i.e. MD, DO

*

Please enter your name below WITHOUT CREDENTIALS as it should appear on a printed or electronic certificate, i.e. Joseph B. Smith

*
*
*
*
*
 

Medical License Information

Medical License: Please provide information for ONE state where you hold a valid, unrestricted medical license. If you only hold a license outside of the U.S., please upload evidence of an unrestricted license from a valid non-U.S. licensing body in the section for additional information below. Physicians in training: In the license number field indicate you are in training and supply the U.S. state in which you are training.

*
*
 

General Certificate(s) and Specialties

*

As a physician initially certified by an AOA member board, your National Board certification will come from our National Board of Osteopathic Physicians and Surgeons (NBOPAS) chapter.

Instruction: What board associated with AOA certification(s) do you hold or have you previously held? You can select more than one General Certificate(s) and/or Subspecialty Certificate(s). To select multiple entries, hold down the 'CTRL' button. You may select from the top box (General Certificates) and/or the lower box (Subspecialty Certificates).

Note: If you select a certificate for a procedural specialty (i.e. a surgical specialty, EP or interventional cardiology) you will be asked to supply information about the hospital or outpatient facility in which you currently hold privileges in that specialty.

NEVER AOA CERTIFIED: If you have never been certified by an AOA board, we will not be able to certify you. We realize there are several other very credible national and international medical boards. Unfortunately, we can only certify AOA diplomats. There are no exceptions.

APPEALS: Decisions can be appealed by writing to info@NBPAS.org and asking for an appeal by the Appeals Committee.

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Anesthesiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in MOHS Micrographic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Clinical Cardiac Electrophysiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Interventional Cardiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Obstetrics and Gynocologic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Obstetrics and Gynocology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Female Pelvic Med/Reconstructive Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Gynecologic Oncology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Maternal and Fetal Medicine.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Facial Plastic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Ophthalmology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Otolaryngology and Facial Plastic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Otolaryngology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Otorhinolaryngology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Otolaryngic Allergy.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Orthopedic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Hand Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Proctology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Cardiothoracic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in General Vascular Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Neurological Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Plastic and Reconstructive Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgery (General).

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Thoracic Cardiovascular Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Thoracic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Urological Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgical Critical Care.

 

Instruction: What board associated with ABMS certification(s) do you hold or have you previously held? You can select more than one General Certificate(s) and/or Subspecialty Certificate(s). To select multiple entries, hold down the 'CTRL' button. You may select from the top box (General Certificates) and/or the lower box (Subspecialty Certificates).

Note: If you select a certificate for a procedural specialty (i.e. a surgical specialty, IP or interventional cardiology) you will be asked to supply information about the hospital or outpatient facility in which you currently hold privileges in that specialty.

NEVER ABMS CERTIFIED: If you have never been certified by an ABMS board, NBPAS will not be able to certify you. We realize there are several other very credible national and international medical boards. Unfortunately, we can only certify diplomats. There are no exceptions.

APPEALS: NBPAS decisions can be appealed by writing to info@NBPAS.org and asking for an appeal by the Appeals Committee.

HAVING TROUBLE FINDING YOUR GENERAL CERTIFICATE OR SUBSPECIALTY? Before you give up, CLICK HERE for a complete a table of certificates offered along with their respective subspecialties.

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Anesthesiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Colon and Rectal Surgery.

 

See Family Medicine or Internal Medicine

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Electrophysiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Interventional Cardiology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Neurological Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Obstetrics and Gynecology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Female Pelvic Medicine and Reconstructive Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Ophthalmology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Orthopaedic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Otolaryngology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Neurotology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Pediatric Otolaryngology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Plastic Surgery Within the Head and Neck.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Plastic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Plastic Surgery Within the Head and Neck.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgery of the Hand.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Vascular Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Complex General Surgerical Oncology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Pediatric Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgery of the Hand.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Surgerical Critical Care.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Thoracic Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Congenital Cardiac Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Urology.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Female Pelvic Medicine and Reconstructive Surgery.

 

Provide a United States hospital or outpatient facility licensed by a nationally recognized credentialing organization with deeming authority from CMS (ie JCHAO, HFAP, DNV) in which you hold privileges in Pediatric Urology.

 

Please upload evidence of continuing medical education

Upload Instructions: Upload certificates providing evidence (CME certificates or transcripts from the CME provider; Word documents and Excel files cannot be accepted) of 50 hours within the past 24 months of continuing medical education within at least one of the specialties you designated. The CME provider must either be accredited by the ACCME or approved by the AOA.
Re-entry: If your board certification has lapsed, please upload certificates providing evidence (CME certificates or transcripts from the CME provider) of 100 hours of CME within the past 24 months.
Physicians-in-or within 24 months of training: Upload a letter from your program director stating you are enrolled in an ACGME accredited training program (instead of CME evidence), or upload a copy of your diploma showing date of training within 24 months.

After selecting your file for upload on our site, you will see the file name in the box or to the right of the upload button. If you are unable to upload the document below, please email the pdf to: documents@nbpas.org or fax the documents to: 888-861-4449.


Use this section to upload any additional information you believe is relevant to your application. (Not a required field)

If you have questions about your application, please enter them here and we'll do our best to answer you. (Not a required field)

Fee Summary

Two year certification: $169
Discounted Certification: $29
Paper Certificate: To receive a paper certificate with gold seal suitable for framing an additional fee of $14 will apply. If the paper certificate option is not selected, you will receive a certificate electronically.
AOA Verification Fee: $20 (We must add $20 to all applications from AOA certified DOs because the AOA charges a $20 fee per physician for certification verification).

Your total billable amount is:

For your security, the National Board of Osteopathic Physicians and Surgeons does not store payment information on our servers. Our payment providers also force HTTPS for all transactions with all data encrypted using AES-256 with description codes stored on separate machines.

Payment Information We Accept Visa, Mastercard, American Express and Discover
/
(what's this?)
Terms and Conditions

The National Board of Osteopathic Physicians and Surgeons (NBOPAS) reserves the right to deny certification to any individual believed by the board to lack sufficient qualifications. This may include individuals who meet the stated requirements but are found by the NBOPAS to have characteristics that make them unsuitable for certification.

Certification by NBOPAS is a measure of training, experience and life-long learning. It does not guarantee competence or any specific medical outcomes.

By checking the box below, I hereby consent to the disclosure, inspection and copying of information and documents relating to my credentials and qualifications and performance (“credentialing information”) by and between the NBOPAS and other healthcare organizations with which I have been affiliated.  I authorize the NBOPAS and its/their representatives to consult with representatives of other healthcare organizations with which I have been affiliated. I authorize and direct persons so consulted to provide such information to NBOPAS.

By checking the box below, I attest to the accuracy of this application.