Active NPI
Pedro Bujosa, MD
- Family Medicine Physician
- Medford, OR
National Provider Identifier
1881780534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD24487
- Practice address
- 691 Murphy Rd
Suite 107
Medford, OR 97504 - Phone
- (541) 789-6460
- Fax
- (541) 789-6461
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- 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 | MD24487 | OR | Primary |
Addresses
Primary practice location
691 Murphy Rd
Suite 107
Medford, OR 97504
Mailing address
2620 East Barnett Rd
Suite H
Medford, OR 97504-8383
Phone (541) 789-4281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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 |
|---|---|---|---|---|
| I20190614002305 | OR | Order and Referring Only - Family Practice | 9133263080 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1881780534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 EAST BARNETT RD",
"address_2": "SUITE H",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048383",
"telephone_number": "541-789-4281",
"fax_number": "541-789-5538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "691 MURPHY RD",
"address_2": "SUITE 107",
"city": "MEDFORD",
"state": "OR",
"postal_code": "97504",
"telephone_number": "541-789-6460",
"fax_number": "541-789-6461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUJOSA",
"first_name": "PEDRO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD24487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.