Burton Dale Cox Jr., DO
Individual provider Active NPI Family Medicine Physician · Boscobel, WI
NPI 1144382011 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1144382011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 33222-021 (WI)
- Practice address
- 1101 Morrison Dr
Hsu
Boscobel, WI 53805-1180 - Phone
- (608) 375-6433
- Fax
- (608) 375-6439
- NPI assigned
- Dec 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33222-021 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randolph Community Clinic SC | Family Medicine | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33222-021 | WI | Yes |
Addresses
Primary practice location
1101 Morrison Dr
Hsu
Boscobel, WI 53805-1180
Mailing address
1101 Morrison Dr
Hsu
Boscobel, WI 53805-1180
Phone (608) 375-6433
Other providers in Boscobel, WI
- Brandii Cabrera
- Gerard Ceulemans
- Thomas Andrew Chweh
- Larry Clark
- Allyson Cooley
- Jonathan R Demory
- Barbara L Dewitt
- Dr Michael S Mecikalski SC
- Carley A Drakas
- Matthew T Drakas
All providers in Boscobel, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.