NPIMap

Organization Active NPI

Brunswick Gastroenterology Associates

  • Gastroenterology Physician
  • Brunswick, ME
National Provider Identifier
1245248970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
BRUNSWICK GASTROENTEROLOGY ASSOCIATES
Practice address
121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653
Phone
(207) 725-1355
Fax
(207) 729-1457
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Jay Bosco, M.D.
Title
Physician
Phone
(207) 725-1355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653

Mailing address

121 Medical Center Dr
Suite 3400
Brunswick, ME 04011-2653
Phone (207) 725-1355

National Provider Directory

National Provider Directory

Locations

9 Gilman Ave
Ste 1
Brunswick, ME 04011
Phone (207) 666-1054

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245248970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR",
            "address_2": "SUITE 3400",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112653",
            "telephone_number": "207-725-1355",
            "fax_number": "207-729-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MEDICAL CENTER DR",
            "address_2": "SUITE 3400",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112653",
            "telephone_number": "207-725-1355",
            "fax_number": "207-729-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK GASTROENTEROLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "207-725-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.