Individual provider Active NPI

William Jack Boggess, MS

  • Audiologist
  • Austin, TX
National Provider Identifier
1891953899
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
50873 Issued in TX
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

Updated by the provider on Oct 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20090302000615 TX Practitioner - Qualified Audiologist 0547326498 Reassigns benefits to 1 organization

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
Sinus and Snoring SpecialistsGroup PAC ID 3577813427, 5 clinicians

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

OrganizationSpecialtyStatusNew patients
Independent Physicians Network PLLC CurrentSince Jun 1, 2023 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.

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.

Verify at the official NPI Registry.