Pradeep Bose, M.D.

Primary specialty

Adolescent Medicine (Family Medicine) PhysicianTaxonomy code 207QA0000X

License

25666 Issued in KY

Practice address

521 Lancaster Ave
Richmond, KY 40475-3100

Phone

(859) 622-1761

Fax

(859) 622-1767

NPI assigned

Jan 31, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841337433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 ABBEYWOOD RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405151272",
            "telephone_number": "859-622-1761",
            "fax_number": "859-622-1767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LANCASTER AVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753100",
            "telephone_number": "859-622-1761",
            "fax_number": "859-622-1767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSE",
        "first_name": "PRADEEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "KY",
            "license": "25666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leanne Bober
• Kathryn Thor Boggs, PH.D.
• Nicholas Patrick Boland, DPT
• Sheriese Bone, LCSW
• Tara Terina Bonilla, OTR/L
• Radmila Bostock
• Courtney Marie Boulnemour, SLP
• Lori Bourgeois, ATC
• Jeffrey Lucas Bowen, D.M.D.
• Teresa Campion Bowerman

• Adolescent Medicine (Family Medicine) Physician in Richmond, KY
• Providers in Richmond, KY by specialty
• Adolescent Medicine (Family Medicine) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.