Individual provider Active NPI

Rachel Bos, M.D.

  • Family Medicine Physician
  • Broomfield, CO
National Provider Identifier
1790723062
Registry record updated Jan 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34040 Issued in CO
Practice address
1995 W Midway Blvd
Broomfield, CO 80020-1640
Phone
(303) 554-9310
Fax
(720) 890-7601
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34040 CO Primary

Addresses

Primary practice location

1995 W Midway Blvd
Broomfield, CO 80020-1640

Mailing address

1995 W Midway Blvd
Broomfield, CO 80020-1640
Phone (303) 554-9310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050125000309 CO Practitioner - Family Practice 6204886575

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34040COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flatirons Family Practice Inc Family Medicine PastSince Jan 9, 2011 Accepting new patients
Elane Shirar MD Inc Family Medicine PastSince Nov 1, 1999 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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231113600000",
    "number": "1790723062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201640",
            "telephone_number": "303-554-9310",
            "fax_number": "720-890-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 W MIDWAY BLVD",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201640",
            "telephone_number": "303-554-9310",
            "fax_number": "720-890-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOS",
        "first_name": "RACHEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "34040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.