Active NPI
Ray Bockover, ATP, CRTS
- Other Technician
- Tyler, TX
National Provider Identifier
1871889048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 13213 Hwy 155 S
Suite B
Tyler, TX 75703-6561 - Phone
- (903) 509-4446
- NPI assigned
- Jun 25, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
13213 Hwy 155 S
Suite B
Tyler, TX 75703-6561
Mailing address
12012 County Road 283 E
Whitehouse, TX 75791-6010
Phone (903) 509-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Needs Solutions, LLC | Past | Accepting new patients |
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.
-
- Customized Equipment (DME)
- Tyler, TX
- NPI 1124199369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308960000000",
"number": "1871889048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12012 COUNTY ROAD 283 E",
"city": "WHITEHOUSE",
"state": "TX",
"postal_code": "757916010",
"telephone_number": "903-509-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13213 HWY 155 S",
"address_2": "SUITE B",
"city": "TYLER",
"state": "TX",
"postal_code": "757036561",
"telephone_number": "903-509-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKOVER",
"first_name": "RAY",
"credential": "ATP, CRTS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-25",
"last_updated": "2011-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.