Individual provider Active NPI

Leah Bucholz, PA-C

  • Physician Assistant
  • Boerne, TX
National Provider Identifier
1700213543
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1109697
Practice address
910 River Rd # 101
Boerne, TX 78006-2441
Phone
(830) 331-2391
NPI assigned
Oct 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1109697 Primary

Addresses

Primary practice location

910 River Rd # 101
Boerne, TX 78006-2441

Mailing address

215 W Bandera Rd Ste 114-260
Ste 114-260
Boerne, TX 78006-3571
Phone (830) 529-7979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20171128000725 TX Practitioner - Physician Assistant 0648537738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
My Urgent Clinic LLCGroup PAC ID 2466716741, 6 clinicians

Practice addresses (Care Compare)

910 River Rd
Suite 101
Boerne, TX 78006-2441
Phone (830) 331-2391

National Provider Directory

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

Organizations & group practices 1

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": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1700213543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W BANDERA RD STE 114-260",
            "address_2": "STE 114-260",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063571",
            "telephone_number": "830-529-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 RIVER RD # 101",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062441",
            "telephone_number": "830-331-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOLZ",
        "first_name": "LEAH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1109697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.