Individual provider Active NPI

Jose Antonio Bossolo Jr., M.D.

  • Orthopaedic Surgery Physician
  • Brownsville, TX
National Provider Identifier
1740295302
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
K8020 Issued in TX
Practice address
800 E Alton Gloor Blvd Ste a
Brownsville, TX 78526-4296
Phone
(956) 504-6996
Fax
(956) 544-6545
NPI assigned
Jul 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X K8020 TX
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X K8020 TX Primary

Addresses

Primary practice location

800 E Alton Gloor Blvd Ste a
Brownsville, TX 78526-4296

Mailing address

800 E Alton Gloor Blvd Ste a
Brownsville, TX 78526-4296
Phone (956) 504-6996

Other identifiers 1

IdentifierTypeStateIssuer
145509901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PR2 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
I20111214000624 TX Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 0042381907 Practice locations: Brownsville, TX
I20250709004351 PR Practitioner - Orthopedic SurgeryPractitioner - Hand Surgery 0042381907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Hand Surgery
Education
University of Puerto Rico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OrionmedGroup PAC ID 4183700214, 3 clinicians

Practice addresses (Care Compare)

201 Torre San Cristobal
Coto Laurel, PR 00780-2844
Phone (787) 843-3971

800 E Alton Gloor Blvd
Suite a
Brownsville, TX 78526-4296
Phone (956) 504-6996

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K8020TXMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raul a. Marquez, MD PA Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Orionmed Single Specialty CurrentSince Jun 1, 2025 Accepting new patients

Locations

201 Torre San Cristobal
Coto Laurel, PR 00780
Phone (787) 843-3971

2402 Cornerstone Blvd
Edinburg, TX 78539
Phone (956) 618-4444

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GHFJDD/Endpoint/GHFJDD

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.

Hospital & facility affiliations 3

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": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1740295302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E ALTON GLOOR BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264296",
            "telephone_number": "956-504-6996",
            "fax_number": "956-544-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E ALTON GLOOR BLVD STE A",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264296",
            "telephone_number": "956-504-6996",
            "fax_number": "956-544-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOLO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "TX",
            "license": "K8020",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "K8020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145509901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.