Gregory Bozek, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21179 Issued in IA

Practice address

2769 Heartland Dr Ste 205
Coralville, IA 52241-2732

Phone

(319) 887-2900

Fax

(319) 887-2904

NPI assigned

Jan 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregorybozek@mic.allscriptsdirect.net

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.

• Mercy Services Iowa City, Inc.

  • Multi-Specialty Clinic/Center
  • Iowa City, IA
  • NPI 1740213206

  IA

  Medicare reassignment NPD
• Mercy Hospital, Iowa City, Iowa

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1982664124
  NPD
• Mercy Services Iowa City, Inc.

  • Primary Care Clinic/Center
  • West Liberty, IA
  • NPI 1477065332
  NPD
• Mercy Services Iowa City, Inc.

  • Primary Care Clinic/Center
  • Tipton, IA
  • NPI 1487791059
  NPD
• Mercy Services Iowa City, Inc.

  • Primary Care Clinic/Center
  • West Branch, IA
  • NPI 1972640449
  NPD

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1790764751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR STE 205",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-887-2900",
            "fax_number": "319-887-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR STE 205",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-887-2900",
            "fax_number": "319-887-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOZEK",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "21179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1175943",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret L Bouska, PA
• Alicia Ann Bowden, DPT
• Stephanie Nicole Bowman, LMHC
• David Paul Boysen, M.D.
• Thomas Charles Boysen, M.D.
• Katie Lynn Braun, ARNP
• Mary Brauns, PHYSICAL THERAPIST
• Brema Group Enterprises
• Rebecca Eliana Brennan, DPT
• Jennifer Brockway, DNP, ARNP

• All providers in Coralville, IA
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; 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.

Verify at the official NPI Registry.