Individual provider Active NPI

Gregory Robert Boco, DPM

  • Foot & Ankle Surgery Podiatrist
  • Boca Raton, FL
National Provider Identifier
1386999548
Registry record updated Oct 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3519 Issued in FL
Practice address
9878 Clint Moore Rd Ste 202
Boca Raton, FL 33496-1037
Phone
(561) 353-5350
Fax
(561) 451-1223
NPI assigned
Jul 13, 2012
Last updated
Oct 9, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3519 FL Primary

Addresses

Primary practice location

9878 Clint Moore Rd Ste 202
Boca Raton, FL 33496-1037

Mailing address

9878 Clint Moore Rd Ste 202
Boca Raton, FL 33496-1037
Phone (561) 353-5350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000544 FL Practitioner - Podiatry 3577712512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach Foot and Ankle IncGroup PAC ID 1456379056, 8 clinicians

Practice addresses (Care Compare)

9878 Clint Moore Rd
Suite 202
Boca Raton, FL 33496-1037
Phone (561) 353-5350

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue24
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3519FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Jun 20, 2016 Accepting new patients
Palm Beach Foot & Ankle Inc Foot & Ankle Surgery CurrentSince Jun 20, 2016 Accepting new patients

Locations

9878 Clint Moore Rd
Ste 202
Boca Raton, FL 33496
Phone (561) 353-5350

11380 Prosperity Farms Rd
Ste 221E
Palm Beach Gardens, FL 33410
Phone (561) 371-1690

2650 S Military Trl
Ste 9
West Palm Beach, FL 33415
Phone (561) 964-1178

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1386999548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9878 CLINT MOORE RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961037",
            "telephone_number": "561-353-5350",
            "fax_number": "561-451-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9878 CLINT MOORE RD STE 202",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334961037",
            "telephone_number": "561-353-5350",
            "fax_number": "561-451-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCO",
        "first_name": "GREGORY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-13",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.