Individual provider Active NPI

Rodney Jerome Boswell, CSFA

  • Surgical Assistant
  • Arlington, TX
National Provider Identifier
1114127289
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
128366 Issued in TX
Practice address
800 W Randol Mill Rd
Arlington, TX 76012-2504
Phone
(817) 888-7577
NPI assigned
Jul 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 82243 TX
Surgical Assistant 246ZC0007X 128366 TX Primary

Addresses

Primary practice location

800 W Randol Mill Rd
Arlington, TX 76012-2504

Mailing address

PO Box 163124
Fort Worth, TX 76161-3124
Phone (817) 888-7577

Other practice location 1

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 888-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
128366TXMDSurgical Assistant
82243TXMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1114127289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163124",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761613124",
            "telephone_number": "817-888-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W RANDOL MILL RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122504",
            "telephone_number": "817-888-7577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761042122",
            "country_code": "US",
            "telephone_number": "817-888-7577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSWELL",
        "first_name": "RODNEY",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-18",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TX",
            "license": "82243",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "128366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.