Bruce E Bosse MDPC

Primary specialty

SpecialistTaxonomy code 174400000X

License

034503 Issued in GA

Legal business name

BRUCE E BOSSE MDPC

Practice address

2500 Hospital Blvd
Suite 440
Roswell, GA 30076-4907

Phone

(770) 663-4649

Fax

(770) 663-3930

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Bruce Eric Bosse, M.D.

Title

Physician

Phone

(770) 663-4649

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1255620159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 440",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-663-4649",
            "fax_number": "770-663-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 440",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-663-4649",
            "fax_number": "770-663-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE E BOSSE MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-663-4649",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "034503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "13BDBWB",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000465132B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynda Brown
• Roger Lee Brown, CRNA
• Tamu Tayari Brown, M.D.
• Brown/Watkins Chiropractic Clinic
• Madison Rae Browning, PHYSICIAN ASSISTANT
• Carl Bruckner, LMT
• Susan Bruder Mattson, PHD
• Page C Brunner, OT
• Stephen K Bruno, MD
• Scott Gunter Brunson, HAD

• Specialist in Roswell, GA
• Providers in Roswell, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.