Brett J Bolte, MD

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

H9301 Issued in TX

Practice address

2115 N 34TH St
Waco, TX 76708-3114

Phone

(254) 753-1885

Fax

(254) 755-0078

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Pam Physician Enterprise

  • Physical Medicine & Rehabilitation Physician
  • Fargo, ND
  • NPI 1962856161

  TX

  Medicare reassignment NPD
• Rima Bishara, M.D., P.a.

  • Internal Medicine Physician
  • Waco, TX
  • NPI 1770613960
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891807459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 N 34TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083114",
            "telephone_number": "254-753-1885",
            "fax_number": "254-755-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 N 34TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083114",
            "telephone_number": "254-753-1885",
            "fax_number": "254-755-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTE",
        "first_name": "BRETT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "H9301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry L Bolen, O.D.
• Karlyn Elizabeth Boling, PH.D.
• Timothy B Boling, PH.D.
• Dusti Bollinger
• Debra Sue Bolt, MSW
• Jessica Boltinghouse, PSY. D.
• David Boman, DC, CFMP, OT/L, MBA
• Katelyn Bone, APRN FNP
• Sally Diane Bonham, BSN, MSN, FNP, IBCLC
• Anna Christine Bonner

• Physical Medicine & Rehabilitation Physician in Waco, TX
• Providers in Waco, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.