Organization Active NPI

Don R Bosse MD PA

  • Internal Medicine Physician
  • Bellville, TX
National Provider Identifier
1649446568
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G3169 Issued in TX
Legal business name
DON R BOSSE MD PA
Practice address
235 W Palm St
Suite 105
Bellville, TX 77418-1372
Phone
(979) 865-3124
Fax
(979) 865-9193
NPI assigned
Apr 30, 2008
Last updated
Apr 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Don R Bosse, M.D.
Title
Medical Doctor
Phone
(979) 865-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G3169 TX Primary

Addresses

Primary practice location

235 W Palm St
Suite 105
Bellville, TX 77418-1372

Mailing address

235 W Palm St
Suite 105
Bellville, TX 77418-1372
Phone (979) 865-3124

Other identifiers 1

IdentifierTypeStateIssuer
128016602MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1649446568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W PALM ST",
            "address_2": "SUITE 105",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181372",
            "telephone_number": "979-865-3124",
            "fax_number": "979-865-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W PALM ST",
            "address_2": "SUITE 105",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774181372",
            "telephone_number": "979-865-3124",
            "fax_number": "979-865-9193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DON R BOSSE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "BOSSE",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "979-865-3124",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G3169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128016602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.