Individual provider · Type 1 NPI

Matthew Bosarge, DO

Family Medicine Physician · Gulfport, MS

NPI number 1336674803 Active

Practice location

12121 Highway 49
Gulfport, MS 39503-3167

Call (228) 831-1572 Map

Fax (228) 831-1218

Mailing address

2101 Highway 90
Gautier, MS 39553-5340

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X27716 (MS)

Family Medicine Physician: 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.

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About NPI 1336674803

Matthew Bosarge, DO's National Provider Identifier is 1336674803, issued on Apr 21, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 20, 2025.