Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark David Bostrom, MD

Individual provider Family Medicine Physician · NPI 1255860169

Mark David Bostrom, MD is a Family Practice in New Richmond, Wisconsin. Qualified in 2017, 9 years ago. Practices with Westfields Hospital Inc, a 108-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
9
Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

535 Hospital Rd
New Richmond, WI 54017-1449
Phone: (715) 243-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 330 N 8th Ave E, Duluth, MN 55805-2024 — (218) 723-1112
  • 640 Jackson St, Saint Paul, MN 55101-2502 — (651) 439-1234

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 73969 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 64340 (MN)

Record details

NPI number1255860169
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2017
Last updated in NPPESJuly 21, 2022
Certification dateMarch 12, 2021
Mailing address8170 33rd Ave S, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Westfields Hospital Inc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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