Active NPI
Michael Edward Bozik, M.D.
- Neurology Physician
- Pittsburgh, PA
National Provider Identifier
1912207374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD044912E
- Practice address
- 2100 Wharton St
615
Pittsburgh, PA 15203-1972 - Phone
- (412) 488-1776
- Fax
- (412) 488-8487
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD044912E | PA | Primary |
Addresses
Primary practice location
2100 Wharton St
615
Pittsburgh, PA 15203-1972
Mailing address
2100 Wharton St
615
Pittsburgh, PA 15203-1972
Phone (412) 488-1776
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 |
|---|---|---|---|
| MD044912E | PA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1912207374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 WHARTON ST",
"address_2": "615",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031972",
"telephone_number": "412-488-1776",
"fax_number": "412-488-8487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 WHARTON ST",
"address_2": "615",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152031972",
"telephone_number": "412-488-1776",
"fax_number": "412-488-8487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOZIK",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PA",
"license": "MD044912E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.