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

Mr. Jeffrey S. Bosley, MPAS

Individual provider Medical Physician Assistant · NPI 1922073196

Mr. Jeffrey S. Bosley, MPAS is a Physician Assistant in Phoenix, Arizona. Qualified in 2003, 23 years ago. Practices with Center for Dermatology PLLC, a 69-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
23
Licensed in
NC
In the registry since
2006
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Practice location Address checks out

4512 N 40th St
Phoenix, AZ 85018-3604
Phone: (602) 954-7546
Fax: (602) 952-2941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 0010-02321 (NC)

Record details

NPI number1922073196
Entity typeIndividual (Type 1)
GenderMale
Credentials MPAS
Sole proprietorNo
NPI enumeratedFebruary 21, 2006
Last updated in NPPESJanuary 25, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Center For Dermatology Pllc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix