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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AUDREA BOSE MD
NPI 1699359471
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since May 08, 2021PECOS Enrolled
85 E CONCORD ST, BOSTON, MA 02118(240) 434-6913 Get Directions Write a Review

NPPES record last updated: August 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2026, May 8, 2021 (2 updates tracked since 2021).

About Dr. Audrea Bose Md NPPES

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

DR. AUDREA BOSE MD (NPI 1699359471) is an individual student in an organized health care education/training program in Boston, Massachusetts, licensed in Massachusetts (1026850) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1699359471
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AUDREA BOSECredential: MD
Location Address85 E CONCORD STBoston, MA 02118-2335
Mailing Address85 E Concord StBoston, MA 02118-2335
Phone(240) 434-6913
Sole ProprietorNo
Enumeration DateMay 8, 2021
Last NPPES UpdateAugust 2, 20262 updates tracked since enumeration
NPPES CertifiedAugust 2, 2026
✔ NPI 1699359471 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
Licenses✔ Licensed in MA · 1026850✔ Licensed in RI · LP05259
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.
85 E CONCORD ST, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-5180

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. Audrea Bose 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOSTON UNIVERSITY
Clinic/Center (Medical Specialty)
85 E CONCORD ST, 7TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 638-8329
MR. COLIN BENJAMIN JACKSON
Obstetrics & Gynecology
85 E CONCORD ST, 6TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-5166
DR. ALEXANDER MICHAEL GOLDOWSKY MD
Internal Medicine (Gastroenterology)
85 E CONCORD ST
BOSTON, MA 02118
Suffolk County (617) 638-8000
DR. MICHAEL WALTER SZYMANSKI JR. DO
Surgery (Trauma Surgery)
85 E CONCORD ST
BOSTON, MA 02118
Suffolk County (617) 638-8442
DR. YIFEI WANG MD
Student in an Organized Health Care Education/Training Program
85 E CONCORD ST
BOSTON, MA 02118
Suffolk County (617) 638-8934
DR. KAREN LOEB LIFFORD M.D.
Obstetrics & Gynecology
85 E CONCORD ST, 6TH FLOOR OBGYN
BOSTON, MA 02118
Suffolk County (617) 414-5185
CAROLYN E FOX CNM
Midwife
85 E CONCORD ST, 6TH FLOOR
BOSTON, MA 02118
Suffolk County (617) 414-5469
SHARON GEORGE
Counselor (Mental Health)
85 E CONCORD ST
BOSTON, MA 02118
Suffolk County (857) 289-4607

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 Audrea Bose's NPI number?

The NPI number for Audrea Bose is 1699359471. It was assigned to this individual provider in the NPPES registry on May 8, 2021.

Where is Audrea Bose located?

Audrea Bose practices at 85 E Concord St, Boston, MA 02118. The listed phone number is (240) 434-6913.

What is Audrea Bose's specialty?

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

Is Audrea Bose enrolled in Medicare?

Yes. Audrea Bose is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrea Bose was last updated on August 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.