Active NPI
Carmen R Bozic, M.D.
- Pulmonary Disease Physician
- Cambridge, MA
National Provider Identifier
1871737213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 72069
- Practice address
- Biogen Idec Inc.
14 Cambridge Center
Cambridge, MA 02142 - Phone
- (617) 679-3406
- NPI assigned
- Apr 29, 2009
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 72069 | MA | Primary |
Addresses
Primary practice location
Biogen Idec Inc.
14 Cambridge Center
Cambridge, MA 02142
Mailing address
Biogen Idec Inc.
14 Cambridge Center
Cambridge, MA 02142
Phone (617) 679-3406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72069 | MA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240963200000",
"number": "1871737213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BIOGEN IDEC INC.",
"address_2": "14 CAMBRIDGE CENTER",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02142",
"telephone_number": "617-679-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BIOGEN IDEC INC.",
"address_2": "14 CAMBRIDGE CENTER",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02142",
"telephone_number": "617-679-3406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZIC",
"first_name": "CARMEN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-29",
"last_updated": "2009-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MA",
"license": "72069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.