BOSCO CODY THEODORE DO
NPI 1306422811
Psychiatry & Neurology - Psychiatry in Salem, VA
About Bosco Cody Theodore Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BOSCO CODY THEODORE DO (NPI 1306422811) is an individual psychiatry provider in Salem, Virginia, licensed in Virginia (0102207976) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Lewisgale Medical Center, and is a graduate of Touro Un Col Of Osteopathic Medicine, Henderson (2021).
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 and accepts Medicare assignment
Bosco Cody Theodore Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lewisgale Medical Center
Acute Care Hospitals · Salem, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SALEM, VA 24153
SALEM, VA 24153
SALEM, VA 24153
SALEM, VA 24153
SALEM, VA 24153
SALEM, VA 24153
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 Bosco Theodore's NPI number?
The NPI number for Bosco Theodore is 1306422811. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Bosco Theodore located?
Bosco Theodore practices at 1900 Electric Rd, Salem, VA 24153. The listed phone number is (540) 776-4000.
What is Bosco Theodore's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Bosco Theodore enrolled in Medicare?
Yes. Bosco Theodore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Bosco Theodore affiliated with any hospitals?
According to CMS data, Bosco Theodore is affiliated with Lewisgale Medical Center.
When was this NPI record last updated?
The NPPES record for Bosco Theodore was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Bosco Cody Theodore, DO · NPI 1306422811
Psychiatry physician in Salem, Virginia. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1306422811 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 0102207976 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 ELECTRIC RD, Salem, VA 24153-7494
- **Phone:** (540) 776-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Touro Un Col Of Osteopathic Medicine, Henderson, class of 2021
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306422811) · Data from the CMS NPPES public registry.