Active NPI
Rachel Bos, M.D.
- Family Medicine Physician
- Broomfield, CO
National Provider Identifier
1790723062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34040
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050125000309 | CO | Practitioner - Family Practice | 6204886575 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34040 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flatirons Family Practice Inc | Family Medicine | Past | Accepting new patients |
| Elane Shirar MD Inc | Family Medicine | 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.
-
- Family Medicine Physician
- Northglenn, CO
- NPI 1134227291
-
- Family Medicine Physician
- Broomfield, CO
- NPI 1609802982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.