Bosque Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BOSQUE CLINIC LLC

Doing business as

The Bosque Clinic

Practice address

1400 Jackie Rd SE Ste 106
Rio Rancho, NM 87124-1518

Phone

(505) 934-1071

NPI assigned

Mar 7, 2024

Last updated

Apr 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Martinez, NPNPI 1386860542

Title

Owner

Phone

(505) 934-1071

Specialties & licenses 1

Addresses

Other names 1

• The Bosque Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Martinez Jr., FNP

  • Family Nurse Practitioner
  • Rio Rancho, NM
  • NPI 1386860542
  Medicare reassignment NPD Authorized official
• Kyle Rodgers, CRNA

  • Certified Registered Nurse Anesthetist
  • Albuquerque, NM
  • NPI 1013332998
  NPD

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1033977780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 JACKIE RD SE STE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241518",
            "telephone_number": "505-934-1071",
            "fax_number": "505-451-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 JACKIE RD SE STE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241518",
            "telephone_number": "505-934-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-934-1071",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bosque Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Bosque Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert S Bond, MD
• Amy Bonnett, DOM
• Bernice Bonney
• William A Borgeson, MD
• Erin Borrego, CPSW
• Bosque Mental Health
• Christopher Bouchard, MD
• Rebecca Lynn Bourbon, P.A.-C
• Breanne Bower
• David Bowes

• Primary Care Nurse Practitioner in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Primary Care Nurse Practitioner in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.