Pulkit Sawroop Bose, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A209003 Issued in CA

Practice address

1340 Mitchell Rd
Modesto, CA 95351-4920

Phone

(209) 581-9711

NPI assigned

Jul 20, 2021

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 2, 2026.

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785628800000",
    "number": "1245803113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 MITCHELL RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514920",
            "telephone_number": "209-581-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 MITCHELL RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953514920",
            "telephone_number": "209-581-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 E Granger Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504347",
            "country_code": "US",
            "telephone_number": "209-575-5801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSE",
        "first_name": "PULKIT",
        "middle_name": "SAWROOP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2026-08-02",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A209003",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A209003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenzie Borland
• Bibi Borlish, HS DIPLOMA
• Lucie Frederique Bornmann, M.S
• David Borofka
• Ashley Borum
• Raeme Evelyn Bosquez
• Jennifer Boss Kinser
• Taryn Lynette Boss Kinser
• Brianna Bossard, LCSW
• Bailey Bostwick

• All providers in Modesto, CA
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.