Active NPIIndividual provider

Micah R Bosley, MD

Family Medicine in Jersey Village, Texas

NPI Number1144666785
Practice location
17347 Village Green Dr, Jersey Village, TX 77040-1159
Fax
713-849-3424
Last updated
December 9, 2025

Micah Ryan Bosley is a Family Medicine based in Jersey Village, TX. Micah Ryan Bosley practices in Jersey Village, TX and has the professional credentials of MD. The NPI Number for Micah Ryan Bosley is 1144666785 and holds a License No. Q1797 (TX). The current practice location address for Micah Ryan Bosley is 17347 Village Green Dr, Jersey Village, TX 77040-1159 and can be reached out via phone at 713-466-0197 and via fax at 713-849-3424.

Provider Profile Details

NPI Number
1144666785
Provider Name
Micah Ryan Bosley
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
17347 Village Green Dr, Jersey Village, TX 77040-1159
Phone Number
713-466-0197
Fax Number
713-849-3424
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
May 21, 2013
Last Update Date
December 9, 2025
Certification Date
December 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
17347 Village Green Dr
Jersey Village, TX 77040-1159
State
Texas
Zip
77040-1159
Phone Number
713-466-0197
Fax Number
713-849-3424
Jersey Village, TX 77040Get directions →

Provider Business Mailing Address Details

Address
Po Box 20771
Belfast, ME 04915-4104
City
Belfast
State
ME
Zip
04915-4104
Phone Number
713-466-0197
Fax Number
713-849-3424

License Information

License Number
Q1797
License State
TX
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Micah R Bosley, MD?

The NPI number of Micah R Bosley, MD is 1144666785. It was assigned on May 21, 2013 and is currently active in the NPPES registry.

What is the specialty of Micah R Bosley, MD?

Micah R Bosley, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in TX under license number Q1797.

Where does Micah R Bosley, MD practice?

The practice location is 17347 Village Green Dr, Jersey Village, TX 77040-1159. The office can be reached at 713-466-0197 (phone) or 713-849-3424 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144666785 directly on the NPPES registry website.

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