Bryan John Boosz, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS024037L Issued in PA

Practice address

2 Munger Rd
Newtown Square, PA 19073-2314

Phone

(610) 356-1776

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093743387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MUNGER RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732314",
            "telephone_number": "610-356-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MUNGER RD",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190732314",
            "telephone_number": "610-356-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOSZ",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS024037L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "174080",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Helen Bland, MSW, LCSW
• Board of Supervisors Newtown Square Township
• Bridget Bolton, MA CCC-SLP
• Linda Jane Bonsall, M.ED.
• Brandon Tyler Boon
• Heather Borchert
• Jerome Anthony Boscia, MD
• David Avery Bottger, MD
• Catherine Maria Bowen, BCBA
• Debra Lynne Boyd, PH.D.

• General Practice Dentistry in Newtown Square, PA
• Providers in Newtown Square, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.