DR. LAWRENCE RAYMOND BOLY MD
NPI 1053537852
Physical Medicine & Rehabilitation - Hospice and Palliative Medicine in Martinez, CA

Q: What is Lawrence Boly's NPI number?

The NPI number for Lawrence Boly is 1053537852. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Q: What is Lawrence Boly's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Hospice and Palliative Medicine, with taxonomy code 2081H0002X.

Q: When was this NPI record last updated?

The NPPES record for Lawrence Boly was last updated on May 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2007PECOS Enrolled

2500 ALHAMBRA AVE, MARTINEZ, CA 94553(925) 431-2688 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lawrence Raymond Boly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LAWRENCE RAYMOND BOLY MD (NPI 1053537852) is an individual hospice and palliative medicine provider in Martinez, California, licensed in California (G488250) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053537852

Entity TypeIndividualMale

Primary Taxonomy2081H0002X

Provider Legal NameDR. LAWRENCE RAYMOND BOLYCredential: MD

Location Address2500 ALHAMBRA AVEMartinez, CA 94553-3156

Mailing Address2500 Alhambra AveMartinez, CA 94553-3156 · (925) 431-2688

Phone(925) 431-2688

Sole ProprietorYes

Enumeration DateApril 18, 2007

Last NPPES UpdateMay 19, 2015

✔ NPI 1053537852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081H0002X

License✔ Licensed in CA · G488250

Definition

A physical medicine and rehabilitation physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

2500 ALHAMBRA AVE, Martinez, CA 94553

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Other Identifiers 1

Medicare UPINA51185CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lawrence Raymond Boly Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers40 claims92 services$5.33 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers20 claims30 services$0.97 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers22 claims22 services$40.66 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims960 services$0.08 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers17 claims17 services$175.76 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$21.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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