Hiram Jeffrey Bollinger, MPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA02123 Issued in TX

Practice address

1800 7TH St
Wichita Falls, TX 76301-4204

Phone

(940) 723-2373

Fax

(940) 723-1892

NPI assigned

Aug 4, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982612149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COLINA CIR",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763091224",
            "telephone_number": "940-632-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 7TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014204",
            "telephone_number": "940-723-2373",
            "fax_number": "940-723-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "HIRAM",
        "middle_name": "JEFFREY",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA02123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUB LICENSE",
            "identifier": "R0130262",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Johnson Boddy, LPC
• Megan N Bodine, PHD
• Michael Bohannan, LPC
• Jayanth Bolaram, M.D.
• Daniel Huffman Bolin, M.D.
• Ivoryne Maude Bollinger
• Donald L Bomer, MD
• Paul Steven Bonner, DDS
• Anupam Boparai, M.D.
• Julie Ann Borchardt, FNP-C

• Physician Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.