Micah Bosley MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

Q1797 Issued in TX

Legal business name

MICAH BOSLEY MD, PLLC

Practice address

102 Piping Rock Dr
Montgomery, TX 77356-5860

Phone

(281) 272-1743

Fax

(281) 272-1758

NPI assigned

Aug 26, 2017

Organization subpart

No

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

Authorized official

Name

Micah Bosley, MD

Title

Owner

Phone

(281) 272-1743

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1871010223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 PIPING ROCK DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565860",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PIPING ROCK DR",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773565860",
            "telephone_number": "281-272-1743",
            "fax_number": "281-272-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICAH BOSLEY MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-26",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "BOSLEY",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-272-1743",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q1797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Mendoza
• Monica Ashley Mendoza, PT, DPT, MS
• Jaymes Mennel
• Carmen R Merrill, LCSW
• Micah Bosley MD, PLLC
• Micah Tomlinson MD PA
• Michael a. Kaplan, MD, PA
• Rosemarie Middleton, DDS, MS
• Kathryn Denise Miers, LPC
• Monica M Milford

• Family Medicine Physician in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.