DR. COREY ALEXANDER BOLTZ DO
NPI 1093520728
Military Health Care Provider in Fort Sam Houston, TX
NPI Status: Active since February 10, 2025
Contact Information
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 528-6548
Fax: (848) 213-0591
- Individual
- Male
- Military Health Care Provider
- PECOS Enrolled
About COREY BOLTZ
This page provides the complete NPI Profile along with additional information for Corey Boltz, a provider established in Fort Sam Houston, Texas with a medical specialization in Military Health Care Provider. The healthcare provider is registered in the NPI registry with number 1093520728 assigned on February 2025. The practitioner's primary taxonomy code is 171000000X with license number BP10094933 (TX). The provider is registered as an individual and his NPI record was last updated December 2025.
- NPI
- 1093520728
- Provider Name
- DR. COREY ALEXANDER BOLTZ DO
- Other Name
- MR. COREY ALEXANDER THOMAS
- Other Name Type
- Former Name (1)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234
- Location Phone
- (210) 528-6548
- Location Fax
- (848) 213-0591
- Mailing Address
- 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-10-2025
- Last Update Date
- 12-30-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Military Health Care Provider
- Taxonomy Code
- 171000000X
- Type
- Other Service Providers
- License No.
- BP10094933
- License State
- TX
- Taxonomy Description
- Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Medicare Participation & PECOS Enrollment Status
Corey Boltz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093520728, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093520728, enumerated as an "individual" on February 10, 2025.
The provider is located at 3551 ROGER BROOKE DR FORT SAM HOUSTON, TX 78234 and the phone number is (210) 528-6548.
Military Health Care Provider with taxonomy code 171000000X.
