Benjamin Charles Bosen, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11805306-1204 Issued in UT

Practice address

288 S Paradise Pkwy # 154
Garden City, UT 84028-7909

Phone

(435) 255-1630

Fax

(435) 946-9124

NPI assigned

May 2, 2017

Last updated

Jan 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ID, UT2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bear Lake County Memorial HospitalGroup PAC ID 5395799860, shared by 8 NPIs, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316
• Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Bear Lake County Memorial Hospital

  dba BLMH Bear Lake Clinic

  • Multi-Specialty Clinic/Center
  • Garden City, UT
  • NPI 1538916333

  Family Medicine

  Medicare reassignment NPD
• Bear Lake County Memorial Hospital

  dba Bear Lake Internal Medicine

  • Internal Medicine Physician
  • Montpelier, ID
  • NPI 1174741441
  Medicare reassignment NPD
• East Morgan County Hospital

  • Critical Access Hospital
  • Brush, CO
  • NPI 1699708743
  NPD (past)
• Great Plains of Cheyenne Co Inc

  dba Cheyenne County Clinic

  • Rural Health Clinic/Center
  • Bird City, KS
  • NPI 1417988932
  NPD (past)
• Great Plains of Cheyenne Co. Inc

  dba Cheyenne County Hospital

  • Critical Access Hospital
  • Saint Francis, KS
  • NPI 1992736458
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services Inc

  dba Intermountain Health Logan Regional Hospital

  • General Acute Care Hospital
  • Logan, UT
  • NPI 1831108497
  Care Compare affiliation
• Bear Lake County Memorial Hospital

  • Critical Access Hospital
  • Montpelier, ID
  • NPI 1336125533
  Care Compare affiliation

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1134655756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W 1ST ST",
            "city": "SAINT FRANCIS",
            "state": "KS",
            "postal_code": "677563540",
            "telephone_number": "785-332-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S PARADISE PKWY # 154",
            "city": "GARDEN CITY",
            "state": "UT",
            "postal_code": "840287909",
            "telephone_number": "435-255-1630",
            "fax_number": "435-946-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSEN",
        "first_name": "BENJAMIN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-02",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "11805306-1204",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "05-44029",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "benjamin.bosen@blmhospital.com",
            "affiliation": "N",
            "address_1": "288 S Paradise Pkwy # 154",
            "city": "Garden City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840287909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bear Lake Community Health Center, Inc. (Bear Lake Community Health Center)
• Bear Lake Community Health Center, Inc. (Bear Lake Community Health Center)
• Bear Lake County Memorial Hospital (BLMH Bear Lake Clinic)
• Bear Lake Drug Garden City
• Bear Lake Physical and Sports Therapy PC
• Kristin K Buys, PA-C
• Fred H Denison, LCSW
• Nathan Gracey, MPAS, PA-C
• Health West, Inc. (Health West Garden City)
• Health West, Inc. (Health West Garden City Pharmacy)

• Family Medicine Physician in Garden City, UT
• Providers in Garden City, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.