MR. RICHARD C BOLEWARE CP
NPI 1194909069
Prosthetist in Jackson, MS

Q: What is Richard Boleware's NPI number?

The NPI number for Richard Boleware is 1194909069. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Q: What is Richard Boleware's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

Q: When was this NPI record last updated?

The NPPES record for Richard Boleware 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 December 27, 2007

2 OLD RIVER PL STE D, JACKSON, MS 39202(601) 944-1130(601) 355-7476 Get Directions Write a Review

NPPES record last updated: May 19, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Richard C Boleware Cp NPPES

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

MR. RICHARD C BOLEWARE CP (NPI 1194909069) is an individual prosthetist provider in Jackson, Mississippi, licensed in Mississippi (CP003226) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1194909069

Entity TypeIndividualMale

Primary Taxonomy224P00000X

Provider Legal NameMR. RICHARD C BOLEWARECredential: CP

Location Address2 OLD RIVER PL STE DJackson, MS 39202-3435

Mailing Address2 Old River Pl Ste DJackson, MS 39202-3435 · (601) 944-1130 · Fax (601) 355-7476

Phone(601) 944-1130

Fax(601) 355-7476

Sole ProprietorNo

Enumeration DateDecember 27, 2007

Last NPPES UpdateMay 19, 2015

✔ NPI 1194909069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224P00000X

License✔ Licensed in MS · CP003226

Definition

A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

2 OLD RIVER PL STE D, Jackson, MS 39202

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Other Identifiers 2

Medicare NSC0446640001MS

Medicare NSC6010530001MS

Other Providers at the Same Location NPPES

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

ZACHARY DOUGLAS MYRICK

Orthotist

2 OLD RIVER PL STE D
JACKSON, MS 39202

Hinds County (601) 944-1130

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 Richard Boleware's NPI number?

The NPI number for Richard Boleware is 1194909069. It was assigned to this individual provider in the NPPES registry on December 27, 2007.

Where is Richard Boleware located?

Richard Boleware practices at 2 Old River Pl Ste D, Jackson, MS 39202. The listed phone number is (601) 944-1130.

What is Richard Boleware's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Richard Boleware 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.