Jason M. Boley, MD., PLLC.

Primary specialty

SpecialistTaxonomy code 174400000X

License

M0668 Issued in TX

Legal business name

JASON M. BOLEY, MD., PLLC.

Practice address

3550 Normand Drive
College Station, TX 77845

Phone

(979) 703-8848

Fax

(979) 703-6485

NPI assigned

Jul 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jason M Boley, MD

Title

Owner

Phone

(979) 703-8848

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1639587173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 NORMAND DRIVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-703-8848",
            "fax_number": "979-703-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 NORMAND DRIVE",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77845",
            "telephone_number": "979-703-8848",
            "fax_number": "979-703-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON M. BOLEY, MD., PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "BOLEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-703-8848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "M0668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tori Lyn James, PHARMD
• Jamilia Blake
• Cynthia Jansky, MD
• Lisa Januskey, O.D.
• Andrew Jarosz, M.S., LAT, ATC, ITAT
• Jason M. Weaver, MD, PA
• Jay M Erickson DDS PLLC
• Elliott Abbott Jaye
• Ayesha Jeelani, DDS
• Haley Allison Jeffrey, PA

• Specialist in College Station, TX
• Providers in College Station, TX by specialty
• Specialist 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.