DR. JOSEPH RICHARD BOSARGE


Address: 1340 Broad Ave, Suite 320, Gulfport, MS 39501-2404
Phone: 2285751775

DR. JOSEPH RICHARD BOSARGE (NPI# 1760465058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760465058
Entity Type Individual
Full Name DR. JOSEPH RICHARD BOSARGE
Credential M.D.
Practice Address 1340 Broad Ave
Suite 320
Gulfport
MS 39501-2404
Practice Telephone 2285751775
Mailing Telephone 2285751775
Enumeration Date 2005-11-21
Last Update Date 2015-10-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 19863 MS Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine ME94065 FL Allopathic & Osteopathic Physicians
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
19863 MS Allopathic & Osteopathic Physicians

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Office Location

Street Address 1340 BROAD AVE
SUITE 320
City GULFPORT
State MS
Zip Code 39501-2404

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912904590 Jesse Pullen Penico Internal Medicine 1340 Broad Ave, Suite 300, Gulfport, MS 39501-2404 2005-06-28
1306409040 Lissa Kelly Baber Nurse Practitioner 1340 Broad Ave, Gulfport, MS 39501-2404 2019-04-18
1780191577 Tbd Acquisition II LLC Social Worker 1340 Broad Ave, Gulfport, MS 39501-2404 2018-01-03
1629517115 Delana Mooney Nurse Practitioner 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2017-02-16
1396299590 Charles Strange Nurse Practitioner 1340 Broad Ave, Suite 450, Gulfport, MS 39501-2404 2016-08-05
1942699988 Beth Ann Gruzinskas Nurse Practitioner 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2015-01-14
1720477714 Lacey Grimes Lichtenstein Nurse Practitioner 1340 Broad Ave, Gulfport, MS 39501-2404 2015-01-14
1669872974 Jamie B Varnado Social Worker 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 2014-08-25
1700121209 Danielle Ronquille Lipski Occupational Therapist 1340 Broad Ave, Suite 270, Gulfport, MS 39501-2404 2012-12-10
1164767778 Shannon Ann Church Social Worker 1340 Broad Ave, Ste 410, Gulfport, MS 39501-2404 2012-12-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301632 Daniel Edward Bloom Physician Assistant Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 2019-11-25
1730721374 Affinity Healthcare LLC Non-emergency Medical Transport (VAN) 1822 15th St, Suite 8, Gulfport, MS 39501 2019-10-15
1093361156 Gulf Coast Companion Care, LLC Home Health 1314 Pass Road, Ste B, Gulfport, MS 39501 2019-08-14
1609420991 Greg Meekin Ent Otolaryngology 1201 31st Avenue, Gulfport, MS 39501 2019-07-25
1225681216 Murphy Chiropractic Gulfport, LLC Clinic/Center 2700 25th Ave., Gulfport, MS 39501 2019-07-19
1477022838 Patriot Healthcare of Mississippi, LLC Family Medicine 1110 Broad Street, Suite 300, Gulfport, MS 39501 2018-11-15
1477003028 Mindful Matters Nurse Practitioner 1613 23rd Avenue, Gulfport, MS 39501 2016-10-06
1902294093 Tangular Barnes Nurse Practitioner Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 2014-12-25
1487065355 Huong Nguyen Pharmacist 2433 25th Avenue, Gulfport, MS 39501 2014-05-14
1770907412 Matthew Coleman Military Health Care Provider Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 2014-02-18
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447357652 Gulf Coast Lung and Sleep Medicine Institute, LLC Internal Medicine 16120 Landon Rd, Suite B, Gulfport, MS 39503-6119 2006-09-20
1447582176 Memorial Hospital At Gulfport Internal Medicine 15190 Community Rd, Suite 220, Gulfport, MS 39503-3485 2010-02-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134393473 Yadana Kyaw Internal Medicine 401 Southcrest Cir Ste 212, Southaven, MS 38671 2008-04-17
1447450622 Jennifer R Gardner Internal Medicine 2301 South Lamar, Suite 100, Oxford, MS 38655 2007-07-25
1689870479 George H Kotti IIi Internal Medicine 301 Fisher St Ste 1f-130, Keesler Afb, MS 39534-2508 2007-06-27
1730306192 J. L. Miles,do Sleep Lab Internal Medicine 2705 Hwy 90, Ocean Springs, MS 39564 2007-04-19
1205050408 J. L. Miles, Do Sleep Lab Internal Medicine 779 Jackson St, Biloxi, MS 39530-4231 2007-04-12
1770706863 Felix Morris M.d., LLC Internal Medicine 1777 Curtis Drive, Iuka, MS 38852 2007-04-10
1508914102 Oxford Lung Physicians, P.a. Internal Medicine 2301 S Lamar Blvd Ste 100, 2301 S Lamar Blvd Ste 100, Oxford, MS 38655-5373 2007-01-08
1760564660 William Thomas Williams Jr. Internal Medicine 1200 N State St Ste 500, Jackson, MS 39202-2027 2006-10-19
1053414326 Jeffrey Neal Evans Internal Medicine 2301 South Lamar Blvd Suite 100, 2301 South Lamar Blvd Suite 100, Oxford, MS 38655-0768 2006-09-05
1881615995 Brodie Wayne Mcalpin Jr. Internal Medicine 209 N Harper Rd, Corinth, MS 38834-5271 2006-07-22
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City GULFPORT
Zip Code 39501

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Dataset Information

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.

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