Organization Active NPI

Brent W. Bost, MD, PA

  • Obstetrics & Gynecology Physician
  • Grapevine, TX
National Provider Identifier
1821743519
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
BRENT W. BOST, MD, PA
Practice address
1650 W College St
Grapevine, TX 76051-3565
Phone
(409) 880-5800
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Dr. Brent W Bost, MDNPI 1902899685
Title
Ceo
Phone
(409) 880-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

1650 W College St
Grapevine, TX 76051-3565

Mailing address

4012 Spring Hollow St
Colleyville, TX 76034-4604
Phone (409) 880-5800

Other names 2

  • Brent W. Bost Doing business as
  • Self Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220311001011 TX Part B Supplier - Clinic/Group Practice 6709271638 Receives reassigned benefits from 1 practitioner
Practice locations: Grapevine, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1821743519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 SPRING HOLLOW ST",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760344604",
            "telephone_number": "409-880-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W COLLEGE ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513565",
            "telephone_number": "409-880-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT W. BOST, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "BOST",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-880-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent W. Bost",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Self",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Self",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.