Sterling Bouxman, N.P.

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

252393 Issued in MA

Practice address

1 Credit Union Way
Randolph, MA 02368

Phone

(781) 341-4145

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cogent Healthcare of Brockton, PC

  • Internal Medicine Physician
  • Brockton, MA
  • NPI 1942250436
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2012.

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1023072246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 HIGHLAND ST",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020723842",
            "telephone_number": "781-436-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CREDIT UNION WAY",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "02368",
            "telephone_number": "781-341-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUXMAN",
        "first_name": "STERLING",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MA",
            "license": "252393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0799092",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boston Medical Center Corporation
• Boston Medical Center Corporation
• Boston Medical Center Corporation
• Boston Medical Center Corporation D.B.a. Cornerstone Health Solutions
• Summer Bottini
• Barbara Ann Bowe
• Taylor Brennan
• Kelly Bretagne, DPT
• Talitha B Brewster-Fullington
• Briget Bride, PSYCHOTHERAPIST

• All providers in Randolph, MA
• Acute Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.