BRUCE E BOSSE MDPC (NPI# 1255620159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255620159 |
| Entity Type | Organization |
| Organization Name | BRUCE E BOSSE MDPC |
| Practice Address |
2500 Hospital Blvd Suite 440 Roswell GA 30076-4907 |
| Practice Telephone | 7706634649 |
| Practice Fax Number | 7706633930 |
| Mailing Telephone | 7706634649 |
| Mailing Fax Number | 7706633930 |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | DR. BRUCE ERIC BOSSE (PHYSICIAN) |
| Authorized Official Telephone | 7706634649 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 034503 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000465132B | 05 | |
| GA | MEDICARE PROVIDER NUMBER | 13BDBWB | 01 |
| Street Address |
2500 HOSPITAL BLVD SUITE 440 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396748513 | Susanne Michele Hewitt | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2005-05-23 |
| 1447798715 | North Fulton Hearing Center LLC | Otolaryngology | 2500 Hospital Blvd, Suite 450, Roswell, GA 30076-4907 | 2017-02-07 |
| 1770941825 | Colorectal Pharmacy Inc | Pharmacy | 2500 Hospital Blvd, Suite 150-a, Roswell, GA 30076-4907 | 2016-02-03 |
| 1538403407 | North Fulton Pulmonary Specialists, LLC | Internal Medicine | 2500 Hospital Blvd, Suite 420, Roswell, GA 30076-4907 | 2012-11-16 |
| 1346596921 | Michele Poole Clark | Advanced Practice Midwife | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2012-08-01 |
| 1174888267 | Parvathi Rayudu | Ophthalmology | 2500 Hospital Blvd, Suite 115, Roswell, GA 30076-4907 | 2012-07-05 |
| 1588932669 | Georgia Spectrum Neurosurgical Specialists, LLC | Neurological Surgery | 2500 Hospital Blvd, Suite 310, Roswell, GA 30076-4907 | 2011-12-05 |
| 1083990501 | Georgia Gifts From Grace LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4907 | 2011-10-28 |
| 1659664720 | Georgia North Fulton Healthcare Associates, LLC | Family Medicine | 2500 Hospital Blvd, Ste 340, Roswell, GA 30076-4977 | 2011-05-24 |
| 1609177039 | North Fulton Women's Consultants, LLC | Obstetrics & Gynecology | 2500 Hospital Blvd, Suite 290, Roswell, GA 30076-4918 | 2010-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356623326 | Renee Wymer | Specialist | 128 Woodstock Rd, Roswell, GA 30075-3548 | 2011-09-15 |
| 1598076978 | Theresia Lynn Greer | Specialist | 1293 Minhinette Dr, Roswell, GA 30075-3662 | 2010-06-30 |
| 1053546796 | Siavash Karimian Md of New Mexico PC Dba Roswell Medico | Specialist | 1621 N. Washington Ave, Roswell, NM 88201 | 2009-05-26 |
| 1376777540 | Veronica Daye Burnett | Specialist | 920 Holcomb Bridge Rd, Ste 300, Roswell, GA 30076-4385 | 2009-05-04 |
| 1851572176 | Tim Cummings, Md LLC | Specialist | 1260 Upper Hembree Rd, Suite C, Roswell, GA 30076-4611 | 2007-11-15 |
| 1447430509 | Roswell Ear, Nose & Throat & Allergy L. L. C. | Specialist | 342 Sherrill Ln Ste A, Roswell, NM 88201-5831 | 2007-11-06 |
| 1306067418 | Excellence In Therapy, Inc. | Specialist | Excellence In Therapy Inc. 345 Ridge Court, Roswell, GU 30076 | 2007-05-02 |
| 1760503692 | Nolsvols Inc. | Specialist | 11255 Woodstock Road, Suite 200, Roswell, GA 30075 | 2007-04-02 |
| 1548396013 | Kimberly E Wootton | Specialist | 345 Ridge Ct, Roswell, GA 30076-2620 | 2007-02-26 |
| 1003941337 | Sarah C Carver | Specialist | 345 Ridge Court, Excellence In Therapy, Roswell, GA 30076 | 2007-02-23 |
| Find all providers in ROSWELL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.