Individual provider Active NPI

Hal B Boone, MD

  • Family Medicine Physician
  • Pasadena, TX
National Provider Identifier
1457349847
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D9363 Issued in TX
Practice address
5050 Crenshaw Rd
Suite 100
Pasadena, TX 77505-3139
Phone
(281) 487-1000
Fax
(281) 487-7374
NPI assigned
Oct 10, 2005
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D9363 TX Primary

Addresses

Primary practice location

5050 Crenshaw Rd
Suite 100
Pasadena, TX 77505-3139

Mailing address

5050 Crenshaw Road
Suite 100
Pasadena, TX 77505-3139
Phone (281) 487-1000

Other identifiers 1

IdentifierTypeStateIssuer
100903702MedicaidTX

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1457349847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW ROAD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-487-1000",
            "fax_number": "281-487-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 CRENSHAW RD",
            "address_2": "SUITE 100",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053139",
            "telephone_number": "281-487-1000",
            "fax_number": "281-487-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOONE",
        "first_name": "HAL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "D9363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100903702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.