COURTNEY LYN BOSTROM MD
NPI 1104566678
Family Medicine in Dallas, TX
About Courtney Lyn Bostrom Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COURTNEY LYN BOSTROM MD (NPI 1104566678) is an individual family medicine provider in Dallas, Texas, licensed in Texas (V5057) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Courtney Lyn Bostrom Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
DALLAS, TX 75246
DALLAS, TX 75246
DALLAS, TX 75246
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 Courtney Bostrom's NPI number?
The NPI number for Courtney Bostrom is 1104566678. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Courtney Bostrom located?
Courtney Bostrom practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.
What is Courtney Bostrom's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Courtney Bostrom enrolled in Medicare?
Yes. Courtney Bostrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Courtney Bostrom accept?
Health plans from Blue Cross and Blue Shield of Texas list Courtney Bostrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Courtney Bostrom was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
