NPIMap

Individual provider Active NPI

Mark Ryan Boyle, MD

  • Emergency Medicine Physician
  • College Station, TX
National Provider Identifier
1861519274
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
M4718 Issued in TX
Practice address
948 William D Fitch Pkwy
College Station, TX 77845-6452
Phone
(979) 314-2323
NPI assigned
Mar 23, 2007
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M4718 TX Primary

Addresses

Primary practice location

948 William D Fitch Pkwy
College Station, TX 77845-6452

Mailing address

6884 Riverstone Dr
Bryan, TX 77808-2307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000574 TX Practitioner - Emergency Medicine 3072614676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Fairfield Hospital DistrictGroup PAC ID 6507149192, 20 clinicians
CahrmcGroup PAC ID 6608916879, 32 clinicians

Practice addresses (Care Compare)

125 Newman St
Fairfield, TX 75840-1419
Phone (903) 389-2121

600 S Austin Rd
Eagle Lake, TX 77434-3202
Phone (979) 234-5571

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4718TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Liberty County Hospital District No 1 Current Accepting new patients
Cahrmc Current Accepting new patients
Fairfield Hospital District Current Accepting new patients
Cahrmc CurrentSince Jun 30, 2023 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jul 30, 2024 Accepting new patients
Liberty County Hospital District No 1 CurrentSince Jul 30, 2024 Accepting new patients
Fairfield Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Fairfield Hospital District CurrentSince Jan 6, 2025 Accepting new patients
Cahrmc CurrentSince Jun 30, 2023 Accepting new patients
Cahrmc Past Accepting new patients

Locations

600 S Austin Rd
Eagle Lake, TX 77434
Phone (979) 234-5571

1011 S Dill St
East Bernard, TX 77435
Phone (979) 335-4433

125 Newman St
Fairfield, TX 75840
Phone (888) 250-2326

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

Interoperability endpoints

  • Direct secure messaging: fmcmboyle@yourcarecommunity.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1861519274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6884 RIVERSTONE DR",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778082307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 WILLIAM D FITCH PKWY",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456452",
            "telephone_number": "979-314-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "MARK",
        "middle_name": "RYAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M4718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.