Cody Scott Boling, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT4099 Issued in TX

Practice address

4490 E University Ave
Georgetown, TX 78626-7877

Phone

(512) 943-1800

NPI assigned

Oct 16, 2017

Last updated

Oct 16, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508112000000",
    "number": "1841701943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 THUNDERBAY DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4490 E UNIVERSITY AVE",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267877",
            "telephone_number": "512-943-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLING",
        "first_name": "CODY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "LAT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT4099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Bogus, LPC
• Thomas Charles Bohmfalk, MD
• Barbara Myers Bolding, M.ED.
• Melissa Boliek
• Brittney Kay Boling
• Jordan Bolletta, DMD
• Bradley A Boone, M.D.
• Marnita Lynette Boone, MA PSYCHOLOGY
• Erica Michelle Boothby
• Adam Borah, MD

• Athletic Trainer in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.