Individual provider Active NPI

Edward Collier Boytim, CRNA, CNS

  • Certified Registered Nurse Anesthetist
  • Bryan, TX
National Provider Identifier
1881893725
Registry record updated Mar 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
681543 Issued in TX
Practice address
1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone
(979) 776-4777
NPI assigned
Jul 12, 2007
Last updated
Mar 13, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 681543 TX
Certified Registered Nurse Anesthetist 367500000X 681543 TX Primary

Addresses

Primary practice location

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769

Mailing address

1737 Briarcrest Dr
Suite 14
Bryan, TX 77802-2769
Phone (979) 776-4777

Other identifiers 1

IdentifierTypeStateIssuer
2181752-04MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000442 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7012196728 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Anesthesia Associates of Bryan, LLCGroup PAC ID 1254659378, 11 clinicians
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Olney-Hamilton Hospital DistrictGroup PAC ID 9133029077, shared by 10 NPIs, 15 clinicians

Practice addresses (Care Compare)

2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone (979) 774-4211

3131 University Dr E
The Physicians Centre Hospital
Bryan, TX 77802-3473
Phone (979) 731-3250

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

901 W Hamilton St
Hamilton Hospital Medical Associates
Olney, TX 76374-1725
Phone (940) 564-5521

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Olney-Hamilton Hospital District Current Accepting new patients
Cahrmc CurrentSince Jul 5, 2018 Accepting new patients
Cahrmc CurrentSince Jul 5, 2018 Accepting new patients
Emergenchealth PLLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2021 Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince May 4, 2012 Accepting new patients
Anesthesia Associates of Bryan LLC Nurse Anesthetist, Certified Registered CurrentSince May 18, 2015 Accepting new patients
Olney-Hamilton Hospital District CurrentSince Jul 1, 2024 Accepting new patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Olney Hamilton Hospital District Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2024 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2018 Accepting new patients

Locations

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1737 Briarcrest Dr
Ste 14
Bryan, TX 77802
Phone (409) 776-4777

2206 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 774-4211

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

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

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

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

901 W Hamilton St
Olney, TX 76374
Phone (940) 564-3546

7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000

1305 Wonder World Dr
Ste 105
San Marcos, TX 78666
Phone (512) 353-8161

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 4

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489363200000",
    "number": "1881893725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR",
            "address_2": "SUITE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-776-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 BRIARCREST DR",
            "address_2": "SUITE 14",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022769",
            "telephone_number": "979-776-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYTIM",
        "first_name": "EDWARD",
        "middle_name": "COLLIER",
        "name_prefix": "Mr.",
        "credential": "CRNA, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2017-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "TX",
            "license": "681543",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "681543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2181752-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.