MR. RANDALL JOSIAH BOSLEY NPI 1013650407

NPI Information

  • NPI: 1013650407
  • Provider Name: MR. RANDALL JOSIAH BOSLEY
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 730 MALCOLM BLVD STE 150
    CONNELLY SPRINGS, NC
    ZIP 28612
  • Phone: (828) 874-4600

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NPI Details

MR. Randall Josiah Bosley is a family medicine in Connelly Springs, NC with 4 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Randall Josiah Bosley NPI is 1013650407. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year:2022

The provider's business location address is:

730 MALCOLM BLVD STE 150
CONNELLY SPRINGS, NC
ZIP 28612-079
Phone: (828) 874-4600
Fax: (828) 580-8459

The NPI 1013650407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/14/2022 and was last updated on 9/8/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2025-02457NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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