Active NPI
William Jack Boggess, MS
- Audiologist
- Austin, TX
National Provider Identifier
1891953899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 50873
- Practice address
- 12221 Renfert Way Ste 110
Austin, TX 78758-5658 - Phone
- (512) 601-0303
- Fax
- (512) 601-0333
- NPI assigned
- May 27, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | 50873 | TX | Primary |
Addresses
Primary practice location
12221 Renfert Way Ste 110
Austin, TX 78758-5658
Mailing address
12221 Renfert Way Ste 110
Austin, TX 78758-5658
Phone (512) 601-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12221 Renfert Way
Suite 110
Austin, TX 78758-5658
Phone (512) 596-1424
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physicians Network PLLC | Current | Accepting new patients |
Locations
12221 Renfert Way
Ste 110
Austin, TX 78758
Phone (512) 596-1424
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Austin, TX
- NPI 1588037758
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1396274676
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539302400000",
"number": "1891953899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 RENFERT WAY STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585658",
"telephone_number": "512-601-0303",
"fax_number": "512-601-0333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12221 RENFERT WAY STE 110",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787585658",
"telephone_number": "512-601-0303",
"fax_number": "512-601-0333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGGESS",
"first_name": "WILLIAM",
"middle_name": "JACK",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2018-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "50873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.