Hal Leslie Bozof, D.P.M.

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO0001658 Issued in FL

Practice address

2540 Winkler Ave
Ste 2
Fort Myers, FL 33901-9338

Phone

(239) 278-4100

Fax

(239) 278-3907

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1346243748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 WINKLER AVE",
            "address_2": "STE 2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339019338",
            "telephone_number": "239-278-4100",
            "fax_number": "239-278-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZOF",
        "first_name": "HAL",
        "middle_name": "LESLIE",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO0001658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340443900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace M Boyd, RN
• Edward George Boyer IV, M.D.
• William Richard Boyer, LMHC
• Leah Baker Boyette, MD
• Mariya Bozhenok, PA-C
• Brian Wayne Bozza, M.D.
• Brian Paul Bracher, RN
• Lori Ann Brackett, MSN, FNP-BC
• Kelly A Braden, PT
• Bradford J. Yaeger, P.a.

• All providers in Fort Myers, FL
• Foot & Ankle Surgery Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.