John Reagan Boyd, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D9367 Issued in TX

Practice address

200 Heatherwilde Blvd
Pflugerville, TX 78660-3530

Phone

(512) 989-7400

Fax

(512) 989-0753

NPI assigned

Jul 20, 2005

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

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406592000000",
    "number": "1174522296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603530",
            "telephone_number": "512-989-7400",
            "fax_number": "512-989-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEATHERWILDE BLVD",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603530",
            "telephone_number": "512-989-7400",
            "fax_number": "512-989-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JOHN",
        "middle_name": "REAGAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D9367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133383308",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genevieve Borden, MT-BC
• Efrem Nefsse Borga
• Alexa Botero, PA
• Norah Simpson Bowers, AU.D.
• Jacob W Bowker, CERTIFIED COACH
• Sarah Boyle, MS, CCC-SLP
• William Boyles Kramer
• Anna Margaret Bracken, SLP
• Jacqueline Brackens, RPH
• Whitney Bradley, LMFT

• Family Medicine Physician in Pflugerville, TX
• Providers in Pflugerville, 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 Jul 29, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.