Michael W Bosserman (NPI# 1659488385, PAC ID# 7416051966) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PREVENTATIVE MEDICINE.
| Nation Provider ID (NPI) | 1659488385 |
| PAC ID by PECOS | 7416051966 |
| Professional Enrollment ID | I20070322000623 |
| Full Name | Michael W Bosserman |
| Organization Legal Name | CRESTWOOD PHYSICIAN SERVICES, LLC |
| Address |
4810 Whitesport Cir Sw Suite 201 Huntsville AL 35801-7420 |
| Phone Number | 2564295248 |
| Gender | M |
| Credential | MD |
| Medical School | MARSHALL UNIVERSITY SCHOOL MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PREVENTATIVE MEDICINE |
| Secondary Specialties | FAMILY PRACTICE |
| Group Practice PAC ID | 3476735648 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010131 | CRESTWOOD MEDICAL CENTER |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4810 Whitesport Cir Sw, Suite 201, Huntsville, AL 35801-7420 | 2564295248 | CRESTWOOD PHYSICIAN SERVICES, LLC |
| 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 | 2564295248 | CRESTWOOD PHYSICIAN SERVICES, LLC |
| Organization Legal Name | CRESTWOOD PHYSICIAN SERVICES, LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberley Brooke Tanner | Nurse Practitioner | Crestwood Physician Services, LLC | 2506 Danville Rd Sw, Suite 204b, Decatur, AL 35603-4234 |
| Mylena Morton | Internal Medicine | Crestwood Physician Services, LLC | 8121 Madison Blvd, Suite 101a, Madison, AL 35758-2082 |
| Carisa F Sparks | Nurse Practitioner | Crestwood Physician Services, LLC | 11365 Hwy 231 431 N, Meridianville, AL 35759-2145 |
| David R Mayer | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Charles D. Coffey | Family Medicine | Crestwood Physician Services, LLC | 12100 County Line Rd, Suite A2, Madison, AL 35756-2006 |
| Bhavna Sharma | Family Medicine | Crestwood Physician Services, LLC | 102 Essex Ct, Suite C, Madison, AL 35758-3161 |
| Jenny C Chapman | Family Medicine | Crestwood Physician Services, LLC | 10300 Bailey Cove Rd Se, Suite 13, Huntsville, AL 35803-2635 |
| Amber J Whitfield | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Valerie L Wright | Family Medicine | Crestwood Physician Services, LLC | 1650 Slaughter Rd, Suite A, Madison, AL 35758-8610 |
| Mary E Barry | Nurse Practitioner | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Street Address |
4810 WHITESPORT CIR SW SUITE 201 |
| City | HUNTSVILLE |
| State | AL |
| Zip | 35801-7420 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Mayer | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Amber J Whitfield | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Mary E Barry | Nurse Practitioner | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Leonard Terry Pynes | Dermatology | Dermatology Associates of Dothan, LLC | 4810 Whitesport Cir Sw, Suite 217, Huntsville, AL 35801-7420 |
| Yari Campbell | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Emily Claire Jones | Nurse Practitioner | Dermatology Associates of Dothan, LLC | 4810 Whitesport Cir Sw, Suite 217, Huntsville, AL 35801-7420 |
| Susanna Davis | Nurse Practitioner | Dermatology Associates of Dothan, LLC | 4810 Whitesport Cir Sw, Suite 217, Huntsville, AL 35801-7420 |
| Ann S Chu | Family Medicine | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Janice Lewis-thomas | Family Practice | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Randall J Wendt | Obstetrics/gynecology | Crestwood Physician Services, LLC | 4810 Whitesport Cir Sw, Huntsville, AL 35801-7420 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Gordon Mcmurray | Urology | 303 Williams Sw Ave, Suite 411, Huntsville, AL 35801 | |
| Peter S Wilson | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Diane C Winters | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Philip K. Wiles | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Raymond L Sheppard Jr. | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Clinton Scott Williams | Family Medicine | 420 Lowell Sedr, Suite 107, Huntsville, AL 35801 | |
| John H Lary | Internal Medicine | 600 St Clair Ave Sw, Bldg G Suite 12b, Huntsville, AL 35801 | |
| Bala M Chennupati | Internal Medicine | 250 Chateau Swdr, Suite 220, Huntsville, AL 35801 | |
| Daniel Boyett | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Manmohan K Ghanta | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Find all physicians in zip 35801 | |||
| City | HUNTSVILLE |
| Zip Code | 35801 |
| Specialty | PREVENTATIVE MEDICINE |
| City + Specialty | HUNTSVILLE + PREVENTATIVE MEDICINE |
Please comment or provide details below to improve the information on Michael W Bosserman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.