Individual provider Active NPI

Bret A Boes, M.D.

  • Emergency Medicine Physician
  • Meridian, MS
National Provider Identifier
1306879739
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
14972 Issued in MS
Practice address
2124 14TH St
Meridian, MS 39301-4040
Phone
(601) 553-6000
Fax
(601) 553-6115
NPI assigned
Jul 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 14972 MS Primary

Addresses

Primary practice location

2124 14TH St
Meridian, MS 39301-4040

Mailing address

2133 Campground Rd
Lauderdale, MS 39335-9605
Phone (601) 679-8291

Other identifiers 2

IdentifierTypeStateIssuer
00118046MedicaidMS
731-00390OtherALBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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

Enrollment IDStateProvider typePAC IDDetails
I20070611000407 MS Practitioner - Emergency Medicine 5294833596 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Mississippi School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonita Emergency Group LLCGroup PAC ID 3870933278, 26 clinicians

Practice addresses (Care Compare)

1314 19TH Ave
Meridian, MS 39301-4116
Phone (601) 483-0011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Regional Medical Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Laird Hospital, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Kemper Cah, Inc CurrentSince Mar 1, 2023 Accepting new patients
Kemper Cah, Inc. Emergency Medicine Current Accepting new patients
Laird Hospital, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Rush Medical Foundation Current Accepting new patients
Medical Foundation, Inc. Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Scott Regional Medical Center, Inc Emergency Medicine Current Accepting new patients
Kemper, Cah, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Scott Regional Medical Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Kemper Cah, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Rush Medical Foundation CurrentSince Mar 1, 2023 Accepting new patients
Laird Hospital, Inc. Emergency Medicine Current Accepting new patients
Rush Medical Foundation CurrentSince Mar 1, 2023 Accepting new patients
Bonita Emergency Group, LLC Emergency Medicine CurrentSince May 13, 2024 Accepting new patients
McLemore Emergency Physicians Emergency Medicine PastSince Dec 18, 2007 Accepting new patients
Finest Emergency Physicians Emergency Medicine Past Accepting new patients
Lefleur Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

9097 Collinsville Rd
Collinsville, MS 39325
Phone (601) 626-8874

14365 Highway 16 W
De Kalb, MS 39328
Phone (769) 486-1000

1314 19th Ave
Meridian, MS 39301
Phone (601) 483-0011

2401 16th St
Meridian, MS 39301
Phone (601) 482-4181

317 Highway 13 S
Morton, MS 39117
Phone (601) 732-6301

603 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-2123

605 S Archusa Ave
Quitman, MS 39355
Phone (601) 776-6925

25117 Highway 15
Union, MS 39365
Phone (601) 774-8214

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306879739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 CAMPGROUND RD",
            "city": "LAUDERDALE",
            "state": "MS",
            "postal_code": "393359605",
            "telephone_number": "601-679-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 14TH ST",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014040",
            "telephone_number": "601-553-6000",
            "fax_number": "601-553-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOES",
        "first_name": "BRET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "14972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118046",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731-00390",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

Verify at the official NPI Registry.