Individual
DR. DAVID P BOSOMWORTH II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509-8630
(859) 523-1776
(859) 788-7150
Mailing address
2700 OLD ROSEBUD RD STE 330, LEXINGTON, KY 40509-8630
(859) 523-1776
(859) 788-7150
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
30546
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000328632
BLUE CROSS AND BLUESHIELD
KY
05
—
64305469
—
KY
Enumeration date
10/05/2006
Last updated
02/13/2026
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