David G Bostwick, MD MBA

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

0101059208 Issued in VA

Practice address

6925 Lake Ellenor Dr Ste 2
Orlando, FL 32809

Phone

(407) 888-9934

Fax

(407) 856-0333

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 7

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

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

• Aibio Tech LLC

  • Clinical Medical Laboratory
  • North Chesterfield, VA
  • NPI 1760875405
  NPD (past) Authorized official
• American International Biotechnology Aibiotech

  • Clinical Medical Laboratory
  • Richmond, VA
  • NPI 1962724880
  NPD (past) Authorized official
• Bostwick Laboratories Inc

  • Clinical Medical Laboratory
  • Orlando, FL
  • NPI 1871526384
  NPD (past)
• Bostwick Laboratories, Inc.

  • Clinical Medical Laboratory
  • Glen Allen, VA
  • NPI 1124051644
  NPD (past)
• Urology of Virginia PC

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
  • NPI 1407985641
  NPD (past)
• Urology of Virginia, PC

  • Urology Physician
  • Norfolk, VA
  • NPI 1417935636
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1467555987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094631",
            "telephone_number": "407-888-9934",
            "fax_number": "407-856-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6925 LAKE ELLENOR DR STE 2",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-888-9934",
            "fax_number": "407-856-0333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4355 Innslake Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "23060",
            "country_code": "US",
            "telephone_number": "804-967-9225",
            "fax_number": "804-545-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTWICK",
        "first_name": "DAVID",
        "middle_name": "G",
        "credential": "MD MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AZ",
            "license": "29968",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CO",
            "license": "DR41625",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MD",
            "license": "D23914",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "ME86147",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "GA",
            "license": "050869",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MN",
            "license": "1003",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "VA",
            "license": "0101059208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5001699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David S Bostick, MD
• Ashton Boston
• Bransyl Boston
• Lanieca Victoria Boston
• Bostwick Laboratories Inc
• Charlae Zaire Boswell
• Kathryn P Boswell, MD
• Robert B Boswell, M.D.
• Trinity Elise Boszko, D.M.D.
• Bot Billers LLC

• Anatomic Pathology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.