James Robert Boger, MD
Individual provider Active NPI Child & Adolescent Psychiatry Physician · Vernon, TX
NPI 1013113141 · NPPES record last updated Oct 14, 2009
Key facts
- NPI
- 1013113141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child & Adolescent Psychiatry Physician 2084P0804X
- License
- K1163 (TX)
- Practice address
- 4730 College Dr
Vernon, TX 76384-4009 - Phone
- (940) 552-9901
- NPI assigned
- Jun 25, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Texas Medical Branch at Galveston, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Health and Human Services Commission
Practice addresses (Care Compare)
3401 N University Ave
Lubbock, TX 79415-1734
Phone (806) 741-3514
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091117000489 | TX | Practitioner - Psychiatry | 0143368886 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25551 | OK | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health and Human Services Commission | Current |
Accepting new patients | |
| Health and Human Services Commission | Child & Adolescent Psychiatry | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 25551 | OK | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | K1163 | TX | Yes |
Addresses
Primary practice location
4730 College Dr
Vernon, TX 76384-4009
Mailing address
4730 College Dr
Vernon, TX 76384-4009
Phone (940) 552-9901
Other providers in Vernon, TX
- Adam Blake Beam
- BK Outfitters LLC
- Haley Bobbitt
- Jessica Nicole Bodily
- Buffy Renee Boger
- Michele Lynne Borynski
- Mary Hazel Brantley
- Janet Lynne Bristo
- Kevin Thomas Brown
- Robert Edward Brown
All providers in Vernon, TX · Child & Adolescent Psychiatry Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.