Adrian a. Bose MD, Inc.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

A89969 Issued in CA

Legal business name

ADRIAN A. BOSE MD, INC.

Practice address

875 N. Brea Blvd.
Brea, CA 92821-2606

Phone

(714) 529-6842

Fax

(714) 256-1041

NPI assigned

Jan 19, 2011

Last updated

Sep 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrian A. Bose, MDNPI 1104032630

Title

President

Phone

(714) 683-2970

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adrian A. Bose, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Brea, CA
  • NPI 1104032630
  Authorized official Same address or phone

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1346545530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 CASA GRANDE ST.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911043921",
            "telephone_number": "714-683-2970",
            "fax_number": "714-683-0925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 N. BREA BLVD.",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928212606",
            "telephone_number": "714-529-6842",
            "fax_number": "714-256-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN A. BOSE MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "BOSE",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-683-2970",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A89969",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Critical Care Medicine (Internal Medicine) Physician in Brea, CA
• Providers in Brea, CA by specialty
• Critical Care Medicine (Internal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.