Ronald P Boren, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

D5685 Issued in TX

Practice address

1900 W Wall St
Suite a
Midland, TX 79701-6527

Phone

(432) 498-2900

Fax

(432) 498-2990

NPI assigned

Oct 18, 2005

Last updated

Feb 27, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Premier Family Care I, Inc

  dba Premier Physicians

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1902895469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5426",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155400",
            "telephone_number": "432-498-2900",
            "fax_number": "432-498-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W WALL ST",
            "address_2": "SUITE A",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797016527",
            "telephone_number": "432-498-2900",
            "fax_number": "432-498-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "RONALD",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "D5685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123486603",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89161F",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin D Boggs, RPH
• Cyril Bolum
• Rami Reddy Bonam, M.D.
• Hailey Elizabeth Bonner, MPAS, PA-C
• Beau Joplin Boren, DDS
• Borgata Scotsdale ER Management LLC
• Ravi C Borra, M.D.
• Brandy Lynn Borunda, PA
• Jennifer Borunda
• Jayme L Boudreaux, CRNA

• Pediatrics Physician in Midland, TX
• Providers in Midland, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.