Bosque Internal Medicine LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOSQUE INTERNAL MEDICINE LLC

Practice address

3301 La Mancha Dr NW
Albuquerque, NM 87104-3029

Phone

(505) 490-1704

Fax

(505) 433-4485

NPI assigned

Sep 5, 2017

Organization subpart

No

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

Authorized official

Name

Emily Christina Deaton, MD

Title

Physician

Phone

(505) 490-1704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982122479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 LA MANCHA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043029",
            "telephone_number": "505-490-1704",
            "fax_number": "505-433-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 LA MANCHA DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871043029",
            "telephone_number": "505-490-1704",
            "fax_number": "505-433-4485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSQUE INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DEATON",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "505-490-1704",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Peter Bosch, MD
• Mark Louis Boschelli, M.S.
• Musab Bosh, MD
• Bosque Behavior Consulting LLC
• Bosque Birth & Breastfeeding LLC
• Bosque Mental Health Associates, Inc.
• Bosque Smiles Dentistry, LLC
• Bosque Trails Assisted Living LLC
• Bosque Trails Hospice LLC
• Bosque Womens Care PC

• Internal Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Internal Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.