Individual provider Active NPI

Christopher J. Bosarge, M.D.

  • Vascular & Interventional Radiology Physician
  • Pensacola, FL
National Provider Identifier
1437117124
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
ME073699 Issued in FL
Practice address
5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734
Phone
(850) 479-1805
Fax
(850) 479-1829
NPI assigned
May 2, 2006
Last updated
Nov 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME073699 FL
Vascular & Interventional Radiology Physician 2085R0204X ME073699 FL Primary

Addresses

Primary practice location

5149 N 9TH Ave Ste 120
Pensacola, FL 32504-8734

Mailing address

PO Box 11982
Pensacola, FL 32524-1982
Phone (850) 479-1805

Other identifiers 5

IdentifierTypeStateIssuer
68675OtherALBCBS OF ALABAMA
42272OtherFLBCBS
009936285OtherALALABAMA EDS MEDICAID
P00137401OtherFLRR MEDICARE
268360100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040216000156 FL Practitioner - Diagnostic Radiology 4284529777 Reassigns benefits to 3 organizations
I20091013000241 AL Practitioner - Interventional Radiology 4284529777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Louisiana State University School of Medicine in New Orleans, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiothoracic and Vascular Surgical Associates PAGroup PAC ID 5395725188, 85 clinicians

Practice addresses (Care Compare)

1502 N McKenzie St
Suite 110
Foley, AL 36535-2272
Phone (850) 912-8847

1824 King St
Suite 200
Jacksonville, FL 32204-4736
Phone (904) 384-3343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal322
Leg revascularization (restoring blood flow)41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME073699FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nautilus Health Care Group, LLC CurrentSince Mar 15, 2024 Accepting new patients
Cardiothoracic & Vascular Surgical Associates PA Diagnostic Radiology CurrentSince Apr 1, 2021 Accepting new patients
Nautilus Health Care Group LLC CurrentSince Mar 15, 2024 Accepting new patients
Pet LLC PastSince May 29, 2013 Accepting new patients
Advanced Wound Systems LLC Past Accepting new patients
Bay Radiology Associates, PL Diagnostic Radiology PastSince Jul 12, 2004 Accepting new patients
Diagnostic Radiology Consultants, LLP Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Bay Radiology Womens Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
Delta Diagnostics LLC Diagnostic Radiology Past Accepting new patients
Digital Imaging Solutions, LLC Diagnostic Radiology Past Accepting new patients

Locations

1502 N McKenzie St
Ste 100
Foley, AL 36535

1502 N McKenzie St
Ste 110
Foley, AL 36535
Phone (251) 943-1530

3817 Gulf Shores Pkwy
Ste 7
Gulf Shores, AL 36542
Phone (251) 210-8884

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

327 Medcrest Dr
Unit B
Crestview, FL 32536
Phone (850) 682-0032

4012 Commons Dr W
Ste 110
Destin, FL 32541
Phone (850) 434-7331

1824 King St
Ste 200
Jacksonville, FL 32204
Phone (904) 384-3343

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

5970 Berryhill Rd
Milton, FL 32570

7720 US Highway 98 W
Ste 240
Miramar Beach, FL 32550
Phone (850) 502-5989

4585 E Highway 20
Ste 125
Niceville, FL 32578
Phone (850) 426-5191

1549 Airport Blvd
Ste 320
Pensacola, FL 32504
Phone (850) 416-2500

1851 N 9th Ave
Ste B
Pensacola, FL 32503
Phone (850) 479-4223

2301 N 9th Ave
Ste 100
Pensacola, FL 32503
Phone (850) 912-8249

5147 N 9th Ave
Ste 318
Pensacola, FL 32504
Phone (850) 416-2965

5149 N 9th Ave
Ste 120
Pensacola, FL 32504
Phone (850) 426-5191

5149 N 9th Ave
Ste 124
Pensacola, FL 32504
Phone (850) 416-6020

1120 Pinellas Bayway S
Ste 200
Tierra Verde, FL 33715
Phone (727) 867-5480

Interoperability endpoints

  • Direct secure messaging: cbosarge@cvi.curemd.direct-ci.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573516800000",
    "number": "1437117124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11982",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325241982",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 N 9TH AVE STE 120",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325048734",
            "telephone_number": "850-479-1805",
            "fax_number": "850-479-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSARGE",
        "first_name": "CHRISTOPHER",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME073699",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME073699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "68675",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "42272",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA EDS MEDICAID",
            "identifier": "009936285",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00137401",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268360100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.