1. Home
  2. Directory
  3. Florida
  4. Ft Lauderdale
  5. Physician Assistant
  6. NPI Profile

MR. BRUCE BOSTOM PHYSICIANS ASSISTANT
NPI 1881707156
Physician Assistant in Ft Lauderdale, FL

Active since August 17, 2006
6550 N FEDERAL HWY, SUITE 512, FT LAUDERDALE, FL 33308(954) 267-8777(954) 772-7801 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bruce Bostom Physicians Assistant NPPES

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

MR. BRUCE BOSTOM PHYSICIANS ASSISTANT (NPI 1881707156) is an individual physician assistant in Ft Lauderdale, Florida, licensed in Florida (PA3374) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1881707156
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. BRUCE BOSTOMCredential: PHYSICIANS ASSISTANT
Location Address6550 N FEDERAL HWY, SUITE 512Ft Lauderdale, FL 33308-1404
Mailing AddressPo Box 70533Ft Lauderdale, FL 33307-0533 · (954) 267-8777 · Fax (954) 772-7801
Phone(954) 267-8777
Fax(954) 772-7801
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1881707156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA3374
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6550 N FEDERAL HWY, Ft Lauderdale, FL 33308
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINS52649FL
Medicare ID-Type UnspecifiedE0482YFL

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.

MISS KATHY ANN ZIMMER PA
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FORT LAUDERDALE, FL 33308
Broward County (954) 267-8777
JEAN L TOLSON PA-C
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FORT LAUDERDALE, FL 33308
Broward County (954) 267-8777
JOSEPH E CAMPBELL P.A.
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FT LAUDERDALE, FL 33308
Broward County (954) 267-8777
JULIO BELTRAN P.A.
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FT LAUDERDALE, FL 33308
Broward County (954) 267-8777
LUCIANO JOHN RADI PA-C
Physician Assistant (Surgical)
6550 N FEDERAL HWY, STE 512
FT LAUDERDALE, FL 33308
Broward County (954) 267-8777
TAMARA L HUDAK PA-C
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FT LAUDERDALE, FL 33308
Broward County (954) 267-8777
MARY ELISA STRENNEN PA-C
Physician Assistant (Surgical)
6550 N FEDERAL HWY, SUITE 512
FORT LAUDERDALE, FL 33308
Broward County (954) 267-9777
DR. GREGORY LAKIN
Plastic Surgery
6550 N FEDERAL HWY, SUITE 320
FORT LAUDERDALE, FL 33308
Broward County (954) 491-0510

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 Bruce Bostom's NPI number?

The NPI number for Bruce Bostom is 1881707156. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is Bruce Bostom located?

Bruce Bostom practices at 6550 N Federal Hwy Suite 512, Ft Lauderdale, FL 33308. The listed phone number is (954) 267-8777.

What is Bruce Bostom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Bruce Bostom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.