NPIMap

Organization Active NPI

Bruce L Boros MD PA

  • Urgent Care Clinic/Center
  • Key West, FL
National Provider Identifier
1104262054
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BRUCE L BOROS MD PA
Doing business as
ADVANCED URGENT CARE OF THE LOWER KEYS
Practice address
1980 N Roosevelt Blvd
Key West, FL 33040-3632
Phone
(305) 294-0011
Fax
(305) 434-9955
NPI assigned
May 20, 2013
Organization subpart
Yes
Parent organization
BRUCE L BOROS MD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Dr. Bruce L Boros, MD
Title
Owner
Phone
(395) 294-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1980 N Roosevelt Blvd
Key West, FL 33040-3632

Mailing address

1980 N Roosevelt Blvd
Key West, FL 33040-3632
Phone (305) 294-0011

Other names 1

  • ADVANCED URGENT CARE OF THE LOWER KEYS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712001204 FL Part B Supplier - Clinic/Group Practice 1658359062 Receives reassigned benefits from 31 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Key Largo, FL; Key West, FL; Marathon, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Bruce L Boros MD PA

Locations

1980 N Roosevelt Blvd
Key West, FL 33040
Phone (305) 294-0011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFDIBA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1104262054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403632",
            "telephone_number": "305-294-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 N ROOSEVELT BLVD",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403632",
            "telephone_number": "305-294-0011",
            "fax_number": "305-434-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE L BOROS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUCE L BOROS MD PA",
        "enumeration_date": "2013-05-20",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "BOROS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "395-294-0011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED URGENT CARE OF THE LOWER KEYS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.