Booneville Anesthesia Services LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

BOONEVILLE ANESTHESIA SERVICES LLC

Practice address

1200 E Collins Blvd
Suite 110
Richardson, TX 75081-2457

Phone

(866) 913-8528

Fax

(214) 239-1660

NPI assigned

May 1, 2008

Organization subpart

No

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

Authorized official

Name

Brandon Johnson

Title

President/Ceo

Phone

(866) 913-8528

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1104092089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812457",
            "telephone_number": "866-913-8528",
            "fax_number": "214-239-1660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COLLINS BLVD",
            "address_2": "SUITE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812457",
            "telephone_number": "866-913-8528",
            "fax_number": "214-239-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONEVILLE ANESTHESIA SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "866-913-8528"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alieu Bojang, APRN (NP)
• Jimmy Carroll Boley, D.D.S., M.S.
• Jessica Lynn Bollin
• Christy L Bommarito, PHD
• David Gregory Bonnet, M.D.
• Patrick Boothe, D.O.
• Boppana Primary Care Clinic, PLLC
• Sita M Boppana, M.D.
• Latoya Borda, APRN
• James Boren

• Anesthesiology Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Anesthesiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.