Individual provider Active NPI

Micah Ryan Bosley, M.D.

  • Family Medicine Physician
  • Jersey Village, TX
National Provider Identifier
1144666785
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q1797 Issued in TX
Practice address
17347 Village Green Dr
Jersey Village, TX 77040-1159
Phone
(713) 466-0197
Fax
(713) 849-3424
NPI assigned
May 21, 2013
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q1797 TX Primary

Addresses

Primary practice location

17347 Village Green Dr
Jersey Village, TX 77040-1159

Mailing address

PO Box 20771
Belfast, ME 04915-4104
Phone (713) 466-0197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20161109002156 TX Practitioner - Family PracticePractitioner - Emergency Medicine 9830494525 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians

Practice addresses (Care Compare)

17347 Village Green Dr
Suite 106
Jersey Village, TX 77040-1163
Phone (713) 466-0197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q1797TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timberland Medical Group CurrentSince Aug 28, 2016 Accepting new patients
Village Family Practice, L.L.P Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Concord Medical Group PLLC CurrentSince Aug 21, 2018 Accepting new patients
Micah Bosley MD, PLLC CurrentSince Aug 25, 2017 Accepting new patients
Timberland Medical Group Family Medicine CurrentSince Aug 28, 2016 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Aug 21, 2018 Accepting new patients
Villagemd of Southeast Texas, PA Family Medicine CurrentSince Dec 31, 2025 Accepting new patients
Emergency Hospital Systems LLC CurrentSince Oct 26, 2017 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1401 Medical Pkwy
Bldg B
Cedar Park, TX 78613
Phone (512) 528-7480

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

8901 FM 1960 Bypass Rd W
Ste 105
Humble, TX 77338
Phone (281) 592-5400

17347 Village Green Dr
Jersey Village, TX 77040
Phone (281) 343-3654

17347 Village Green Dr
Ste 106
Jersey Village, TX 77040
Phone (713) 466-0197

701 McClintic Dr
Lake Limestone, TX 76642
Phone (254) 729-3281

15200 Southwest Fwy
Ste 290
Sugar Land, TX 77478
Phone (281) 980-2010

13635 Michel Rd
Tomball, TX 77375
Phone (281) 351-7261

Interoperability endpoints

  • Direct secure messaging: mbosley@yourcarecommunity.org
  • Direct secure messaging: micah.bosley@hca7.eclinicaldirectplus.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1144666785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20771",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154104",
            "telephone_number": "713-466-0197",
            "fax_number": "713-849-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17347 VILLAGE GREEN DR",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401159",
            "telephone_number": "713-466-0197",
            "fax_number": "713-849-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "MICAH",
        "middle_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-21",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey Village, TX

Sources for this page

Verify at the official NPI Registry.