DR. MACK BOZMAN MD
NPI 1558066753
Student in an Organized Health Care Education/Training Program in Birmingham, AL

Q: What is Mack Bozman's NPI number?

The NPI number for Mack Bozman is 1558066753. It was assigned to this individual provider in the NPPES registry on April 5, 2023.

Q: What is Mack Bozman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mack Bozman was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 05, 2023PECOS Enrolled

625 19TH ST S, BIRMINGHAM, AL 35233(205) 934-1306 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Mack Bozman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MACK BOZMAN MD (NPI 1558066753) is an individual student in an organized health care education/training program in Birmingham, Alabama and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558066753

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. MACK BOZMANCredential: MD

Location Address625 19TH ST SBirmingham, AL 35233-1900

Mailing Address625 19th St SBirmingham, AL 35233-1900 · (205) 934-1306

Phone(205) 934-1306

Sole ProprietorYes

Enumeration DateApril 5, 2023

NPPES CertifiedApril 5, 2023

✔ NPI 1558066753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

625 19TH ST S, Birmingham, AL 35233

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mack Bozman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

RUI ZHENG-PYWELL MD

Student in an Organized Health Care Education/Training Program