DR. TIMOTHY BOLTON BOONE MDPHD NPI 1609965896

NPI Information

  • NPI: 1609965896
  • Provider Name: DR. TIMOTHY BOLTON BOONE, MD,PHD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6560 FANNIN ST
    SUITE 2100
    HOUSTON, TX
    ZIP 77030
  • Phone: (713) 798-4637

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NPI Details

DR. Timothy Bolton Boone, MD,PHD is an urology in Houston, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Timothy Bolton Boone, MD,PHD NPI is 1609965896. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6560 FANNIN ST
SUITE 2100
HOUSTON, TX
ZIP 77030-761
Phone: (713) 798-4637
Fax: (713) 798-8185

The NPI 1609965896 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), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/26/2016.

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
1208800000XUrologyH1343TEXASYes

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
1P00633959OTHERTEXASRAILROAD MEDICARE
28K9865MEDICARE PINTEXAS
3TXB151426MEDICARE PINTEXAS
4P01062991OTHERTEXASRAILROAD MEDICARE
58AP709OTHERTEXASBLUE CROSS BLUE SHIELD
6C13607MEDICARE UPINTEXAS
7472864ZSWDMEDICARE PINTEXAS

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: 11/21/2025

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