DR. BRIAN PATRICK BOSWORTH (NPI# 1447629233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447629233 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PATRICK BOSWORTH |
| Credential | PA-C |
| Practice Address |
221 W Colorado Blvd Pav II Suite 431 Dallas TX 75208-2363 |
| Practice Telephone | 2149473684 |
| Practice Fax Number | 2149473239 |
| Mailing Telephone | 2149473684 |
| Mailing Fax Number | 2149473239 |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10521 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
9109049 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043535495 | Brian Bosworth | Radiology | 601 E 15th St, Austin, TX 78701-1930 | 2010-03-29 |
| 1881643849 | Brian Paul Bosworth | Internal Medicine | 525 E 68th St, Room J314, New York, NY 10021-4870 | 2006-05-08 |
| Street Address |
221 W COLORADO BLVD PAV II SUITE 431 |
| City | DALLAS |
| State | TX |
| Zip Code | 75208-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750388815 | James Michael Morrissey | Plastic Surgery | 221 W Colorado Blvd, Pav 2, Ste 727, Dallas, TX 75208-2363 | 2005-07-05 |
| 1982248548 | Kellie Edwardsen | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2019-11-06 |
| 1316426588 | Amanda Indalecia Jimenez | Nurse Practitioner | 221 W Colorado Blvd, Dallas, TX 75208-2363 | 2018-08-08 |
| 1851826473 | Margaret Bondoc | Nurse Practitioner | 221 W Colorado Blvd, Ste#845, Dallas, TX 75208-2363 | 2017-04-21 |
| 1770014771 | Dallas Pulmonary Associates Critical Care | General Acute Care Hospital | 221 W Colorado Blvd, Ste 845, Dallas, TX 75208-2363 | 2017-03-22 |
| 1952859126 | Divali Docs, Pllc | Surgery | 221 W Colorado Blvd, Ste 943, Dallas, TX 75208-2363 | 2016-09-16 |
| 1003261512 | Daryl Keith Motsenbocker | Registered Nurse | 221 W Colorado Blvd, Pavillion 2, Suite 929, Dallas, TX 75208-2363 | 2016-05-03 |
| 1821443409 | Emily Alice Lowrance | Physician Assistant | 221 W Colorado Blvd, Pavilion II, Suite 425, Dallas, TX 75208-2363 | 2016-05-02 |
| 1093175390 | Center for Cardiovascular Health Pllc | Clinic/Center | 221 W Colorado Blvd, Ste. 729, Dallas, TX 75208-2363 | 2016-02-29 |
| 1518325133 | Heather Rose Nugent | Registered Nurse | 221 W Colorado Blvd, Pav II, Suite 630, Dallas, TX 75208-2363 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962048710 | Roshonda Guest | Counselor | 529 W. Commerce, 1414, Dallas, TX 75208 | 2019-11-26 |
| 1316506025 | Molecular Innovations Neo-designs Laboratories, LLC | Clinical Medical Laboratory | 839 W. Commerce, Dallas, TX 75208 | 2019-06-07 |
| 1477023430 | Amber M James Dmd, Pllc | Dentist | 650 Fort Worth Ave, Ste 130, Dallas, TX 75208 | 2018-12-03 |
| 1659841237 | Andrea Pavia-jimenez | Physician Assistant | 817 Jefferson Blvd, Dallas, TX 75208 | 2018-11-27 |
| 1841716859 | Jennifer Atherton | Midwife | 618 S Rosemont Ave, Dallas, TX 75208 | 2017-08-22 |
| 1659815892 | Texas Traumatic Brain Injury Rehab | Counselor | 214 W. Colorado Blvd., Dallas, TX 75208 | 2016-12-07 |
| 1295120111 | Silva Pharmacy, Inc | Pharmacy | 939 W Jefferson Blvd Ste 101, Dallas, TX 75208 | 2015-03-30 |
| 1487052478 | Kassandra Sanchez | Counselor | 210 West 10th Street, Dallas, TX 75208 | 2014-12-08 |
| 1023458650 | O.c Medical Associates Pa | Internal Medicine | 737 N. Bishop Avenue, Ste B, Dallas, TX 75208 | 2013-06-27 |
| 1306105135 | Sts Dental, Pllc | Dentist | 909 S. Tyler St., Dallas, TX 75208 | 2012-05-14 |
| Find all providers in zip 75208 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326691957 | Kourtney Marie Willett | Physician Assistant | 1411 N Beckley Ave Pav 3 Suite 363, Dallas, TX 75203-1259 | 2019-07-23 |
| 1003302944 | Amk Provider Solutions Pllc | Physician Assistant | 8197 Midtown Blvd Apt 15101, Dallas, TX 75231-4566 | 2018-07-03 |
| 1184136632 | Pa Solutions, Pllc | Physician Assistant | 1408 N Riverfront Blvd # 166, Dallas, TX 75207-3912 | 2017-10-24 |
| 1528589918 | Operator Assistants, LLC | Physician Assistant | 8440 Walnut Hill Ln Ste 250, Dallas, TX 75231-3815 | 2017-07-06 |
| 1447603683 | Exos Surgical Assist, Pllc | Physician Assistant | 7324 Gaston Ave Ste 124-90, Dallas, TX 75214-6126 | 2016-07-22 |
| 1871941419 | Premier Physician Surgical Associates, Pllc | Physician Assistant | 9540 Garland Rd # 381-416, Dallas, TX 75218-5004 | 2016-05-24 |
| 1144686452 | Clara Joplin | Physician Assistant | 10830 N. Central Expy. Suite 120, Dallas, TX 75231-1050 | 2016-01-04 |
| 1689057820 | Horizon Pa Services, Pllc | Physician Assistant | 381 Casa Linda Plz # 417, Dallas, TX 75218-3471 | 2015-07-07 |
| 1942681572 | Ridgeback Assist, Pllc | Physician Assistant | 381 Casa Linda Plz # 418, Dallas, TX 75218-3471 | 2015-06-09 |
| 1164802385 | Kris Holmes Pa Pllc | Physician Assistant | 740 Peavy Rd, Dallas, TX 75218-2149 | 2015-06-03 |
| Find all providers in DALLAS | ||||
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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.