Organization Active NPI

Philip J. Bosha, M.D., P.a.

  • Sports Medicine (Family Medicine) Physician
  • Denton, TX
National Provider Identifier
1891719423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
L9632 Issued in TX
Legal business name
PHILIP J. BOSHA, M.D., P.A.
Practice address
3303 Colorado Blvd
Suite a
Denton, TX 76210-6812
Phone
(940) 484-1887
Fax
(940) 591-0458
NPI assigned
Jul 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Philip John Bosha, M.D.NPI 1710965116
Title
President
Phone
(940) 484-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS0010X L9632 TX Primary

Addresses

Primary practice location

3303 Colorado Blvd
Suite a
Denton, TX 76210-6812

Mailing address

3303 Colorado Blvd
Suite a
Denton, TX 76210-6812
Phone (940) 484-1887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891719423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 COLORADO BLVD",
            "address_2": "SUITE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762106812",
            "telephone_number": "940-484-1887",
            "fax_number": "940-591-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. BOSHA, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOSHA",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "940-484-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "L9632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.