Robert John Bolster, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K3102 Issued in TX

Practice address

5833 Spohn Dr Ste 101
Corpus Christi, TX 78414-4135

Phone

(361) 993-2020

Fax

(361) 993-0515

NPI assigned

Aug 25, 2006

Last updated

Apr 22, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1033227723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144135",
            "telephone_number": "361-993-2020",
            "fax_number": "361-993-0515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5833 SPOHN DR STE 101",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784144135",
            "telephone_number": "361-993-2020",
            "fax_number": "361-993-0515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLSTER",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030417201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gloria Lorraine Bocanegra
• Glynn Jordan Bogard, LMT
• Mikaela Boham, ATC, ATL
• Mark Bohling, ATC, LAT
• Jessica E Boleware, LVN
• Richard M Bond, MD
• Jenelle Suzanne Bonds, LPC
• Rogenia Means Bonds, OTR
• Lois Bondy, CRNA
• Annette Bone, LMT

• Family Medicine Physician in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.

Verify at the official NPI Registry.