Individual provider Active NPI

Thomas E Bozzo, MD

  • Internal Medicine Physician
  • New Bedford, MA
National Provider Identifier
1093828907
Registry record updated Jul 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
237936 Issued in MA
Practice address
92 Grape St
New Bedford, MA 02740-2104
Phone
(774) 202-2264
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 237936 MA Primary

Addresses

Primary practice location

92 Grape St
New Bedford, MA 02740-2104

Mailing address

6 Oakland St
Mattapoisett, MA 02739-2019
Phone (508) 863-7475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081029000176 MA Practitioner - Internal Medicine 7618035056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

40 Church Ave
Suite 202
Wareham, MA 02571-2093
Phone (774) 678-4480

68 Camp St
Suite 1
Hyannis, MA 02601-3048
Phone (774) 470-1370

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

92 Grape St
New Bedford, MA 02740-2104
Phone (774) 202-2264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237936MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Sep 1, 2014 Accepting new patients
Total Wellness Centers, LLC CurrentSince Sep 1, 2014 Accepting new patients

Locations

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

92 Grape St
New Bedford, MA 02740
Phone (508) 991-4100

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594944000000",
    "number": "1093828907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 OAKLAND ST",
            "city": "MATTAPOISETT",
            "state": "MA",
            "postal_code": "027392019",
            "telephone_number": "508-863-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 GRAPE ST",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027402104",
            "telephone_number": "774-202-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZZO",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-07-17",
        "certification_date": "2020-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "237936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bedford, MA

Sources for this page

Verify at the official NPI Registry.