MEDICARE: DR. BRIAN P BOST MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	CDRH.0048642	CO
2	208000000X	Pediatrics Physician	CDRH.0048642	CO
3	207R00000X	Internal Medicine Physician	CDRH.0048642	CO
4	208M00000X	Hospitalist Physician	83394	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013125939
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN P BOST MD

Provider Business Mailing Address
First Line	:	947 N LAFAYETTE ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80218-3110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 412
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3807
Country	:	US
Telephone Number	:	720-213-6430
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	06/02/2026

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