Robert Lee Boyles, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4054 Issued in OK

Practice address

20 E 34TH St
Sand Springs, OK 74063-4001

Phone

(918) 245-9675

Fax

(918) 245-9679

NPI assigned

Jul 7, 2006

Last updated

May 1, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1689606964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E 34TH ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634001",
            "telephone_number": "918-245-9675",
            "fax_number": "918-245-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E 34TH ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740634001",
            "telephone_number": "918-245-9675",
            "fax_number": "918-245-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLES",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200021800A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Board of Regents of the University of Oklahoma Ou Physicians Tulsa
• Lydia Mary Bodi
• Cynthia Raylene Boggs, LMT
• Jennifer Dawn Bowen
• Tiona Bowman
• Diana Bradley, MS, CCC-SLP
• Michael Bramlett, B.S
• Brookshire Grocery Company (Reasor's Pharmacy #21)
• Kylie Paige Broshous
• Elizabeth Ashley Brown, DPT

• Family Medicine Physician in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.