MR. THOMAS CRAIG BOLDRY DPM NPI 1437159217

NPI Information

  • NPI: 1437159217
  • Provider Name: MR. THOMAS CRAIG BOLDRY, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 550 RUSH CREEK PKWY
    SUITE A
    LIBERTY, MO
    ZIP 64068
  • Phone: (816) 455-1155

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NPI Details

MR. Thomas Craig Boldry, DPM is a podiatrist in Liberty, MO with 38 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MR. Thomas Craig Boldry, DPM NPI is 1437159217. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year:1987

The provider's business location address is:

550 RUSH CREEK PKWY
SUITE A
LIBERTY, MO
ZIP 64068-608
Phone: (816) 455-1155
Fax: (816) 455-1161

The NPI 1437159217 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Injection into tendon or ligament (HCPCS:20550)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Permanent removal fingernail or toenail (HCPCS:11750)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Harvest of graft from small bone (HCPCS:20900)

The enumeration date for this NPI number is 7/22/2005 and was last updated on 9/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist12-00227KANSASNo
2213E00000XPodiatrist000575MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18330580MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
2302817903MEDICAIDMISSOURI
3T81794MEDICARE UPIN
4006783MEDICARE ID-TYPE UNSPECIFIEDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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