Ran Bolen

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

AP136199 Issued in TX

Practice address

20894 Virginia Rd
Flint, TX 75762-5418

Phone

(903) 571-2135

NPI assigned

Mar 30, 2018

Last updated

Mar 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Associates of TX PAGroup PAC ID 4587962949, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palestine Regional Medical Center Hospital, Palestine, TX, CCN 450747
• Crockett Medical Center Hospital, Crockett, TX, CCN 451393

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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 Medicine Associates of TX PA

  • Hospitalist Physician
  • Pearland, TX
  • NPI 1538520218
  Medicare reassignment Care Compare group NPD

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

• Mid Coast Medical Center Crockett Inc

  dba Crockett Medical Center

  • Critical Access Hospital
  • Crockett, TX
  • NPI 1114435260
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Medical Center

  • General Acute Care Hospital
  • Palestine, TX
  • NPI 1164510673
  Care Compare affiliation
• Palestine Principal Healthcare Limited Partnership

  dba Palestine Regional Rehabilitation Hospital

  • Rehabilitation Hospital
  • Palestine, TX
  • NPI 1326113762
  Care Compare affiliation

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1891291845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 TX-256 SOUTH LOOP",
            "city": "PALESTINE",
            "state": "TX",
            "postal_code": "75801",
            "telephone_number": "903-731-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20894 VIRGINIA RD",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757625418",
            "telephone_number": "903-571-2135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "RAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "TX",
            "license": "AP136199",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "TX",
            "license": "AP136199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie N Arthurs, MS, RD, LD
• Heather Bell, LCSW
• Rachel Bell, LPC
• Jamie Bishop, FNP
• Ryan Bockover
• Zane Boles, PT, DPT
• Nancy M. Boone, RN
• Eric William Brabon, APRN, FNP-C
• Brookshire Grocery Company (Brookshires Pharmacy)
• Roger Andrew Burshe

• General Acute Care Hospital in Flint, TX
• Providers in Flint, TX by specialty
• General Acute Care Hospital in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.