William R. Bozarth, M.D., P.S.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

M3626 Issued in ID

Legal business name

WILLIAM R. BOZARTH, M.D., P.S.

Practice address

338 6TH St
Suite 102
Lewiston, ID 83501-2419

Phone

(208) 746-3320

Fax

(208) 746-8717

NPI assigned

Jun 14, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

William Richter Bozarth, M.D.

Title

Owner

Phone

(208) 746-3320

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1003137050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 6TH ST",
            "address_2": "SUITE 102",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012419",
            "telephone_number": "208-746-3320",
            "fax_number": "208-746-8717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "338 6TH ST",
            "address_2": "SUITE 102",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012419",
            "telephone_number": "208-746-3320",
            "fax_number": "208-746-8717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM R. BOZARTH, M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "BOZARTH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RICHTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-746-3320",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "ID",
            "license": "M3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.