Individual provider Active NPI

James Robert Boger, MD

  • Child & Adolescent Psychiatry Physician
  • Vernon, TX
National Provider Identifier
1013113141
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
K1163 Issued in TX
Practice address
4730 College Dr
Vernon, TX 76384-4009
Phone
(940) 552-9901
NPI assigned
Jun 25, 2007
Last updated
Oct 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 25551 OK
Child & Adolescent Psychiatry Physician 2084P0804X K1163 TX Primary

Addresses

Primary practice location

4730 College Dr
Vernon, TX 76384-4009

Mailing address

4730 College Dr
Vernon, TX 76384-4009
Phone (940) 552-9901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091117000489 TX Practitioner - Psychiatry 0143368886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical Branch at Galveston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3401 N University Ave
Lubbock, TX 79415-1734
Phone (806) 741-3514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25551OKMDChild & Adolescent Psychiatry Physician
K1163TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Child & Adolescent Psychiatry Current Accepting new patients
Health and Human Services Commission CurrentSince Jul 3, 2021 Accepting new patients
Health and Human Services Commission CurrentSince Jul 3, 2021 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

1901 N US Highway 87
Big Spring, TX 79720
Phone (432) 267-8216

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

3401 N University Ave
Lubbock, TX 79415
Phone (806) 741-3514

4730 College Dr
Vernon, TX 76384
Phone (940) 552-4055

6515 Lake Rd
Wichita Falls, TX 76308
Phone (940) 552-9901

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255478400000",
    "number": "1013113141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844009",
            "telephone_number": "940-552-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 COLLEGE DR",
            "city": "VERNON",
            "state": "TX",
            "postal_code": "763844009",
            "telephone_number": "940-552-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGER",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-25",
        "last_updated": "2009-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OK",
            "license": "25551",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "K1163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, TX

Sources for this page

Verify at the official NPI Registry.