Boles LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BOLES LLC

Practice address

4500 13TH St Ste 900
Gulfport, MS 39501-2515

Phone

(225) 822-6965

Fax

(226) 822-6999

NPI assigned

Feb 21, 2018

Last updated

Sep 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Dovel Boles, MD

Title

Ceo

Phone

(228) 236-3872

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1841790367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 44TH AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012552",
            "telephone_number": "226-236-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST STE 900",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "225-822-6965",
            "fax_number": "226-822-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "BOLES",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "DOVEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "228-236-3872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.