Provider Demographics
NPI:1932171550
Name:HOSKINS, R. BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:R.
Middle Name:BRUCE
Last Name:HOSKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RALEIGH
Other - Middle Name:BRUCE
Other - Last Name:HOSKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:6432 VERONA RD
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:KS
Mailing Address - Zip Code:66208-1833
Mailing Address - Country:US
Mailing Address - Phone:913-362-2047
Mailing Address - Fax:
Practice Address - Street 1:6432 VERONA RD
Practice Address - Street 2:
Practice Address - City:MISSION HILLS
Practice Address - State:KS
Practice Address - Zip Code:66208-1833
Practice Address - Country:US
Practice Address - Phone:913-362-2047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR7E082085R0001X
KS04-209142085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1932171550Medicaid
KS100202790EMedicaid
KS100202790DMedicaid
MO1932171550Medicaid
KSK40000053Medicare PIN
MOE86117Medicare UPIN