NPIMap

Organization Active NPI

Bosque Womens Care PC

  • Gynecology Physician
  • Albuquerque, NM
National Provider Identifier
1427357920
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD2006-0611 Issued in NM
Legal business name
BOSQUE WOMENS CARE PC
Practice address
6801 Jefferson St NE Ste 350
Albuquerque, NM 87109-4361
Phone
(505) 926-1609
Fax
(505) 847-4945
NPI assigned
Mar 23, 2011
Last updated
Dec 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Authorized official

Name
Carrie D SwartzNPI 1386653822
Title
Owner
Phone
(505) 847-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD2006-0611 NM Primary

Addresses

Primary practice location

6801 Jefferson St NE Ste 350
Albuquerque, NM 87109-4361

Mailing address

6801 Jefferson St NE Ste 350
Albuquerque, NM 87109-4361
Phone (505) 847-4100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000245 NM Part B Supplier - Clinic/Group Practice 3375710452 Receives reassigned benefits from 8 practitioners
Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1427357920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 350",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094361",
            "telephone_number": "505-847-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 350",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094361",
            "telephone_number": "505-926-1609",
            "fax_number": "505-847-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2023-12-21",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "SWARTZ",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-847-4100"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NM",
            "license": "MD2006-0611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.