Active NPI
James E Bosworth, MD
- Diagnostic Radiology Physician
- Richmond, VA
National Provider Identifier
1245219591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101029924
- Practice address
- 1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421 - Phone
- (804) 288-8102
- Fax
- (804) 282-3744
- NPI assigned
- Jan 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 0101029924 | VA | |
| Neuroradiology Physician | 2085N0700X | 0101029924 | VA | |
| Nuclear Radiology Physician | 2085N0904X | 0101029924 | VA | |
| Pediatric Radiology Physician | 2085P0229X | 0101029924 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 0101029924 | VA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | 0101029924 | VA |
Addresses
Primary practice location
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Mailing address
1508 Willow Lawn Dr
Ste 117
Richmond, VA 23230-3421
Phone (804) 288-8102
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245219591 | Medicaid | VA | |
| 224564 | Other | VA | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375920000000",
"number": "1245219591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WILLOW LAWN DR",
"address_2": "STE 117",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303421",
"telephone_number": "804-288-8102",
"fax_number": "804-282-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 WILLOW LAWN DR",
"address_2": "STE 117",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303421",
"telephone_number": "804-288-8102",
"fax_number": "804-282-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSWORTH",
"first_name": "JAMES",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-14",
"last_updated": "2013-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "VA",
"license": "0101029924",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "VA",
"license": "0101029924",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "VA",
"license": "0101029924",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "VA",
"license": "0101029924",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101029924",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "VA",
"license": "0101029924",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245219591",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "224564",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.