Active NPI
James Robert Boger, MD
- Child & Adolescent Psychiatry Physician
- Vernon, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- K1163
- Practice address
- 4730 College Dr
Vernon, TX 76384-4009 - Phone
- (940) 552-9901
- NPI assigned
- Jun 25, 2007
- Last updated
- Oct 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25551 | OK | MD | Child & Adolescent Psychiatry Physician |
| K1163 | TX | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Child & Adolescent Psychiatry | Current | Accepting new patients |
| Health and Human Services Commission | Current | Accepting new patients | |
| Health and Human Services Commission | Current | 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.
-
dba Rio Grande State Center
- Clinical Neuropsychologist
- Harlingen, TX
- NPI 1356414692
Child & Adolescent Psychiatry
-
- Intellectual Disabilities Intermediate Care Facility
- Lubbock, TX
- NPI 1649363326
-
dba Big Spring State Hospital
- Psychiatric Hospital
- Big Spring, TX
- NPI 1881600682
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.