Bradley Bosse, MD

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

License

23877 Issued in NV

Practice address

2011 Pinto LN Ste 200
Las Vegas, NV 89106-4007

Phone

(702) 664-8279

Fax

(702) 382-3575

NPI assigned

May 20, 2016

Last updated

May 22, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, AZ2 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

Specialty

Obstetrics/Gynecology

Education

University of Nevada, Las Vegas School of Medicine, 2016

Medicare assignment

May accept Medicare assignment

Group practices

Iriye Medical Group PLLCGroup PAC ID 2163415910, 61 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.bosse.1@27017.direct.athenahealth.com

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.

• Iriye Medical Group PLLC

  dba High Risk Pregnancy Center

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
  • NPI 1467496240
  Medicare reassignment Care Compare group NPD
• Hera Health Medical Group - Az PLLC

  dba Hera High Risk Pregnancy Specialists

  • Maternal & Fetal Medicine Physician
  • San Tan Valley, AZ
  • NPI 1821728916
  Medicare reassignment NPD

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1609223593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064007",
            "telephone_number": "702-664-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 PINTO LN STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064007",
            "telephone_number": "702-664-8279",
            "fax_number": "702-382-3575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36375 N Gantzel Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851407334",
            "country_code": "US",
            "telephone_number": "480-987-5500",
            "fax_number": "480-987-5017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSE",
        "first_name": "BRADLEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "AZ",
            "license": "76458",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NV",
            "license": "23877",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NV",
            "license": "23877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Bosley
• Alize Boss-Thompson
• Rhett Boss, MD
• Sage Boss
• William Bossak, MD
• Tracie Bosselmann
• Charlotte Jean Bossert
• Eric Bossi, M.D.
• Brittney Bostic
• Kim Bostic

• Maternal & Fetal Medicine Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Maternal & Fetal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.