BRADLEY A BOONE (NPI# 1730151457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730151457 |
| Entity Type | Individual |
| Full Name | BRADLEY A BOONE |
| Credential | M.D. |
| Practice Address |
3201 S Austin Ave Georgetown TX 78626-7545 |
| Mailing Address |
2111 14th St Meridian MS 39301-4041 |
| Practice Telephone | 5124598753 |
| Practice Fax Number | 5124836807 |
| Mailing Telephone | 6016933834 |
| Mailing Fax Number | 6014843225 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
P8338 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 333764R401 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215072020 | Bradley A Boone | Pharmacist | 141hospital Dr, Clinic Pharmacy, Salem, KY 42078-0498 | 2007-02-20 |
| Street Address |
3201 S AUSTIN AVE |
| City | GEORGETOWN |
| State | TX |
| Zip Code | 78626-7545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485932 | Mary Jo Hart | Physician Assistant | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2005-05-23 |
| 1023565413 | U S Anesthesia Partners of Texas, Pa | Physician Assistant | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626 | 2016-09-02 |
| 1003212184 | Melinda Mcclendon | Nurse Practitioner | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2014-11-17 |
| 1851796775 | Samantha A Graef | Physician Assistant | 3201 S Austin Ave, Suite 210, Georgetown, TX 78626-7545 | 2014-11-04 |
| 1497178149 | Shona Noling | Registered Nurse | 3201 S Austin Ave, Suite 370, Georgetown, TX 78626-7545 | 2014-01-31 |
| 1588918551 | Plastic Surgery Associates Pa | Plastic Surgery | 3201 S Austin Ave, Suite 305, Georgetown, TX 78626-7545 | 2012-10-30 |
| 1730430372 | Primary Foot Care | Podiatrist | 3201 S Austin Ave, Suite 225, Georgetown, TX 78626-7545 | 2012-09-23 |
| 1689967010 | Robert P Wills Md Pllc | Counselor | 3201 S Austin Ave, Suite 265, Georgetown, TX 78626-7545 | 2011-05-18 |
| 1750670352 | Megan Annette Hanes Fox | Physician Assistant | 3201 S Austin Ave, Suite # 115, Georgetown, TX 78626-7545 | 2011-04-04 |
| 1558593202 | Jayna Elise Adams | Audiologist | 3201 S Austin Ave, #370, Georgetown, TX 78626-7545 | 2009-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932603230 | Danietra Mcgrue | Home Health Aide | 108 Blue Waterleaf Ln, Georgetown, TX 78626 | 2018-03-21 |
| 1588175673 | Kristin Marie Alaniz | Nurse Practitioner | 2112 Sw H K Dodgen Loop, Suite 110, Georgetown, TX 78626 | 2017-10-17 |
| 1669865275 | Stephen Harris | Counselor | 101 W Cooperative Way Ste 100, Georgetown, TX 78626 | 2015-03-07 |
| 1356739080 | Craig Crossman | Physical Therapy Assistant | 705 E 13th St, Georgetown, TX 78626 | 2015-01-05 |
| 1679977318 | Nancy Krenek | Physical Therapist | 2050 Rockride Ln., Georgetown, TX 78626 | 2014-10-09 |
| 1275956807 | Georgetown Behavioral Health Institute, LLC | Psychiatric Hospital | 3101 S. Austin Avenue, Georgetown, TX 78626 | 2014-02-03 |
| 1184056954 | Rock Springs, LLC | Psychiatric Hospital | 700 Southeast Inner Loop, Georgetown, TX 78626 | 2013-08-05 |
| 1447691936 | Brandon Michael Hoffman | Dentist | 1821 Westinghouse Road, Suite 1130, Georgetown, TX 78626 | 2013-07-11 |
| 1235422932 | Erica Marie Edgington | Nurse Anesthetist, Certified Registered | Westlake Anesthesia Group, Pa, 1004 South Rock Street, Georgetown, TX 78626 | 2011-05-27 |
| 1356570907 | Grace Salone | Optometrist | 950 W University Ave Ste 108, Georgetown, TX 78626 | 2009-07-03 |
| Find all providers in zip 78626 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699066803 | Narayan Venguswamy Psc | Surgery | 1140 Lexington Rd # 101, Georgetown, KY 40324-9330 | 2011-04-21 |
| 1508101460 | Kentucky Mso LLC | Surgery | 1138 Lexington Rd, Suite 230, Georgetown, KY 40324-9672 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1245875061 | Usa Vascular Center of Dallas Pllc | Surgery | 2300 W Fm 544 Ste B, Wylie, TX 75098-4931 | 2019-11-15 |
| 1740830959 | Coastal Plains Endeavors LLC | Surgery | 1602 E Houston St Ste A, Beeville, TX 78102-5335 | 2019-09-19 |
| 1205488632 | Usa Vein Clinics of Dallas Pllc | Surgery | 3128 Forest Ln Ste 320, Dallas, TX 75234-7761 | 2019-07-16 |
| 1558922625 | Sudad Kareem Al Hadad | Surgery | 12579 Richmond Ave Ste 800, Houston, TX 77082-2555 | 2019-06-27 |
| 1043782907 | Timothy C. Pringle Md Pa | Surgery | 4541 N. Josey Lane, Suite 140, Carrollton, TX 75010 | 2018-12-17 |
| 1518449701 | Kenton Lee Rommens | Surgery | 6400 Fannin St. Suite 2850, Houston, TX 77030 | 2018-09-04 |
| 1336633999 | Total Vein Treatment Centers | Surgery | 2301 Marsh Ln Ste 210, Plano, TX 75093-8497 | 2018-06-18 |
| 1508384652 | Jcm Vein Pllc Vein Care Coastal Bend | Surgery | 3301 S Alameda St Ste 402, Corpus Christi, TX 78411-1882 | 2017-09-08 |
| Find all providers with the same taxonomy | ||||
| City | GEORGETOWN |
| Zip Code | 78626 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.