Individual provider Active NPI

Bruce L Boros, M.D., F.A.C.C.

  • Cardiovascular Disease Physician
  • Key West, FL
National Provider Identifier
1992887301
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME31728 Issued in FL
Practice address
3401 Northside Dr
Key West, FL 33040-4238
Phone
(305) 295-3331
Fax
(305) 295-3387
NPI assigned
Oct 19, 2006
Last updated
Apr 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME31728 FL Primary

Addresses

Primary practice location

3401 Northside Dr
Key West, FL 33040-4238

Mailing address

3401 Northside Dr
Key West, FL 33040-4238
Phone (305) 295-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081104000146 FL Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 8628056033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Arnold Berger MD CorpGroup PAC ID 6608000823, 3 clinicians
Bruce L Boros MD PAGroup PAC ID 1658359062, 16 clinicians

Practice addresses (Care Compare)

100460 Overseas Hwy
Key Largo, FL 33037-2547
Phone (786) 538-3036

13365 Overseas Hwy
Suite 102
Marathon, FL 33050-3513
Phone (305) 294-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Arnold Berger MD Corp Cardiovascular Disease CurrentSince Feb 1, 2021 Accepting new patients
Bruce L Boros MD PA CurrentSince Jan 1, 1975 Accepting new patients
University of Miami Cardiovascular Disease Past Accepting new patients
Mount Sinai Medical Center Past Accepting new patients
Mount Sinai Medical Center of Florida, Inc. Past Accepting new patients

Locations

100460 Overseas Hwy
Ste 4
Key Largo, FL 33037
Phone (305) 453-3337

3401 Northside Dr
Key West, FL 33040
Phone (305) 292-9688

13365 Overseas Hwy
Ste 102
Marathon, FL 33050
Phone (305) 294-0011

4300 Alton Rd
Ste 2070
Miami Beach, FL 33140
Phone (305) 674-2609

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicfhir.msmc.com/proxysite-prd/api/FHIR/R4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334188800000",
    "number": "1992887301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404238",
            "telephone_number": "305-295-3331",
            "fax_number": "305-295-3387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 NORTHSIDE DR",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404238",
            "telephone_number": "305-295-3331",
            "fax_number": "305-295-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROS",
        "first_name": "BRUCE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2012-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME31728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.