Individual provider Active NPI

Rex Boye, PA-C

  • Surgical Physician Assistant
  • New Braunfels, TX
National Provider Identifier
1336228402
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10004797 Issued in WA
Practice address
2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379
Phone
(210) 598-2800
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10004797 WA Primary

Addresses

Primary practice location

2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379

Mailing address

2967 Oak Run Pkwy Ste 505
New Braunfels, TX 78132-5379
Phone (210) 598-2800

Other identifiers 2

IdentifierTypeStateIssuer
0193904OtherWALABOR AND INDUSTRIES
2350BOOtherWAREGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210305000591 AZ Practitioner - Physician Assistant 6305829516 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PA Surgical Services Surgical Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1336228402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2967 OAK RUN PKWY STE 505",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325379",
            "telephone_number": "210-598-2800",
            "fax_number": "425-899-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2967 OAK RUN PKWY STE 505",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325379",
            "telephone_number": "210-598-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYE",
        "first_name": "REX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10004797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0193904",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "2350BO",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.