Active NPI
David Aaron Bosse, M.D.
- Diagnostic Radiology Physician
- College Station, TX
National Provider Identifier
1558476507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G4446
- Practice address
- 1500 Andover CT
College Station, TX 77845-8380 - Phone
- (979) 690-8736
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G4446 | TX | Primary |
Addresses
Primary practice location
1500 Andover CT
College Station, TX 77845-8380
Mailing address
1500 Andover CT
College Station, TX 77845-8380
Phone (979) 690-8736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| POR6390 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radcare of Texas PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Beaumont Radiology Group, LLP | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Beaumont, TX
- NPI 1831270156
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1164470845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558476507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 ANDOVER CT",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458380",
"telephone_number": "979-690-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 ANDOVER CT",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778458380",
"telephone_number": "979-690-8736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSE",
"first_name": "DAVID",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "G4446",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "POR6390",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.