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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. COREY ALEXANDER BOLTZ DO
NPI 1093520728
General Practice in Fort Sam Houston, TX

Active since February 10, 2025PECOS Enrolled
3551 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234(210) 528-6548(848) 213-0591 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Aug 11, 2026, Dec 30, 2025 and 1 more (4 updates tracked since 2025).

About Dr. Corey Alexander Boltz Do NPPES

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

DR. COREY ALEXANDER BOLTZ DO (NPI 1093520728) is an individual general practice provider in Fort Sam Houston, Texas, licensed in Texas (W8296) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093520728
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. COREY ALEXANDER BOLTZCredential: DO
Location Address3551 ROGER BROOKE DRFort Sam Houston, TX 78234-4504
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-3856 · Fax (210) 916-4721
Phone(210) 528-6548
Fax(848) 213-0591
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
Last NPPES UpdateAugust 19, 20264 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1093520728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in TX · W8296
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234
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Other Names 1

Former Name (1)Mr. Corey Alexander Thomas

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. Corey Alexander Boltz Do 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.

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.

JANET JONES SIMS CRNA
Nurse Anesthetist, Certified Registered
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (253) 223-6272
JAMES KENNEDY HARDIN PA-C
Physician Assistant
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234
Bexar County (210) 295-4996
DR. DANIEL VICTOR-CALVIN HAMMOND M.D.
Pediatrics (Pediatric Endocrinology)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 916-3020
JESSICA FULLER LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 808-1859
DR. JASON ROBERT HALL M.D.
Neurological Surgery
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
MRS. KATHRYN ELAINE HELLAND LCSW
Social Worker (Clinical)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582
DR. HALWARD BLEGEN IV DO
Ophthalmology
3551 ROGER BROOKE DR
JBSA FORT SAM HOUSTON, TX 78234
Bexar County (210) 220-7419
KOLE HOLLAND SPAULDING M.D.
Emergency Medicine (Emergency Medical Services)
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234
Bexar County (210) 539-9582

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corey Boltz's NPI number?

The NPI number for Corey Boltz is 1093520728. It was assigned to this individual provider in the NPPES registry on February 10, 2025. The provider is also known as Mr. Corey Alexander Thomas.

Where is Corey Boltz located?

Corey Boltz practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 528-6548.

What is Corey Boltz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Corey Boltz enrolled in Medicare?

Yes. Corey Boltz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Corey Boltz was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.