Provider Type Icon

BRUCE E BOSSE MDPC NPI 1255620159


NPI Information

NPI: 1255620159
Provider Name: BRUCE E BOSSE MDPC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2500 HOSPITAL BLVD
SUITE 440
ROSWELL, GA
ZIP 30076
Phone: (770) 663-4649
Get Directions

BRUCE E BOSSE MDPC is a specialist in Roswell, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BRUCE E BOSSE MDPC NPI is 1255620159. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 HOSPITAL BLVD
SUITE 440
ROSWELL, GA
ZIP 30076-907
Phone: (770) 663-4649
Fax: (770) 663-3930

The provider's authorized official is Bruce Eric Bosse .
The authorized official title is Physician and has the following contact phone number (770) 663-4649.

The enumeration date for this NPI number is 3/31/2011 and was last updated on 3/31/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist034503GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113BDBWBOTHERGEORGIAMEDICARE PROVIDER NUMBER
2E14394MEDICARE UPINGEORGIA
3000465132BMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.