Brian Bostwick is a Pediatrics in Peoria, Illinois. Brian Bostwick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Brian Bostwick is 1891768636. The last update date is 2020-10-20.
Brian Bostwick's current location address is 530 Ne Glen Oak Ave, Peoria, Illinois. You can contact this provider via phone number 3096553292 and fax number 3096557732. The mailing address for Brian Bostwick is 530 Ne Glen Oak Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Bostwick |
|---|---|
| Address | 530 Ne Glen Oak Ave, Peoria, Illinois |
| Phone Number | 3096553292 |
| Fax Number | 3096557732 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1891768636 |
|---|---|
| Provider Enumeration Date | 2006-02-10 |
| Last Updated Date | 2020-10-20 |
Provider Mailing Address Detail
| Address | 530 Ne Glen Oak Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616370001 |
| Phone Number | 3096553292 |
| Fax Number | 3096557732 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36106503 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7215036 | IL | BCBS | |
| IL0104 | IL | JOHN DEERE | |
| 36106503 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Brian Bostwick by the Centers for Medicare & Medicaid Services?
The Brian Bostwick has been issued the NPI (National Provider Identifier) 1891768636, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Brian Bostwick's facilities are geographically located?
The facilities of Brian Bostwick are physically situated at the following location: 530 Ne Glen Oak Ave, Peoria, IL, 616370001.
What is the area of specialization for Brian Bostwick, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Bostwick is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891768636 to Brian Bostwick?
The Centers for Medicare & Medicaid Services originally issued the 1891768636 to Brian Bostwick on 2006-02-10.
As of what date were the details related to Brian Bostwick most recently updated or revised?
The information pertaining to Brian Bostwick, including its address, specialty, and other relevant details, was last updated or revised on 2020-10-20.