National Provider Identifier

Owen G Bossman, MD

Owen G Bossman, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 857-8625.

NPI 1104881408Buffalo, NYInternal Medicine Physician

Profile Overview

NPI
1104881408
Provider Type
Individual
Primary Specialty
Internal Medicine Physician
Enumeration Date
April 19, 2006
Last Updated
February 15, 2026

Practice Location

  • 85 High St
  • Buffalo, NY 14203-1149

Phone: (716) 857-8625

Mailing Address

  • 6255 Sheridan Dr
  • Suite 304
  • Williamsville, NY 14221-4836

Specialties

  • Internal Medicine Physician (207R00000X)
Full Record
NPI
1104881408
Entity Type
Individual
Last Name
Bossman
First Name
Owen
Middle Name
G
Credential
MD
Mailing Street Address
6255 Sheridan Dr
Mailing Address Line 2
Suite 304
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-4836
Mailing Country
US
Mailing Phone
(716) 857-8666
Mailing Fax
(716) 857-8944
Practice Street Address
85 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1149
Practice Country
US
Practice Phone
(716) 857-8625
Practice Fax
(716) 250-5961
Enumeration Date
April 19, 2006
Last Updated
February 15, 2026
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Internal Medicine Physician (207R00000X)
Other Identifiers
0001001840 (NY, Univera), 00481085 (NY), 090635-4B (NY, Workers Compensation), 2800146 (NY, Iha), 000502176001 (NY, Health Now)