BRAD TRISTAN BOSERUP MD
NPI 1285384933
Student in an Organized Health Care Education/Training Program in Lebanon, NH
About Brad Tristan Boserup Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRAD TRISTAN BOSERUP MD (NPI 1285384933) is an individual student in an organized health care education/training program in Lebanon, New Hampshire and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brad Tristan Boserup Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
LEBANON, NH 03756
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brad Boserup's NPI number?
The NPI number for Brad Boserup is 1285384933. It was assigned to this individual provider in the NPPES registry on March 25, 2022.
Where is Brad Boserup located?
Brad Boserup practices at 1 Medical Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.
What is Brad Boserup's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brad Boserup enrolled in Medicare?
Yes. Brad Boserup is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brad Boserup was last updated on March 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brad Tristan Boserup, MD · NPI 1285384933
Student in an Organized Health Care Education/Training Program provider in Lebanon, New Hampshire. Individual provider, active in the CMS NPPES registry since March 25, 2022.
## Identity
- **NPI:** 1285384933 (Entity type: Individual)
- **Enumerated:** March 25, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1 MEDICAL DR, Lebanon, NH 03756-1000
- **Phone:** (603) 650-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285384933) · Data from the CMS NPPES public registry.