Active NPI
Bruce Michael Cambosos, MD
- Forensic Psychiatry Physician
- Washington, DC
National Provider Identifier
1942542675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychiatry Physician
- License
- MD6379
- Practice address
- 6511 7TH Street NW
Washington, DC 20012 - Phone
- (202) 291-8575
- NPI assigned
- Mar 20, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Forensic Psychiatry Physician | 2084F0202X | MD6379 | DC | Primary |
| Forensic Psychiatry Physician | 2084F0202X | 0101020746 | VA |
Addresses
Primary practice location
6511 7TH Street NW
Washington, DC 20012
Mailing address
6511 7TH St NW
Washington, DC 20012-2621
Phone (202) 291-8575
Other names 1
- Dr. Bruce Michael Cambosos
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 |
|---|---|---|---|
| MD6379 | DC | MD | Forensic Psychiatry Physician |
| 0101020746 | VA | MD | Forensic Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363737600000",
"number": "1942542675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6511 7TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122621",
"telephone_number": "202-291-8575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6511 7TH STREET NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20012",
"telephone_number": "202-291-8575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMBOSOS",
"first_name": "BRUCE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-03-20",
"last_updated": "2013-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "DC",
"license": "MD6379",
"primary": true
},
{
"code": "2084F0202X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Forensic Psychiatry",
"state": "VA",
"license": "0101020746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRUCE",
"last_name": "CAMBOSOS",
"middle_name": "MICHAEL",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.