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DR. COLETTE POOLE-BOYKIN M.D
NPI 1376938399
Student in an Organized Health Care Education/Training Program in Lackland Afb, TX

Active since April 06, 2015PECOS Enrolled
2200 BERGQUIST DR STE 1, STE 1, LACKLAND AFB, TX 78236(210) 916-8687 Get Directions Write a Review

NPPES record last updated: April 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Colette Poole-boykin M.d NPPES

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

DR. COLETTE POOLE-BOYKIN M.D (NPI 1376938399) is an individual student in an organized health care education/training program in Lackland Afb, Texas and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376938399
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. COLETTE POOLE-BOYKINCredential: M.D
Location Address2200 BERGQUIST DR STE 1, STE 1Lackland Afb, TX 78236-9908
Mailing Address2200 Bergquist Dr Ste 1, Ste 1Lackland Afb, TX 78236-9908
Phone(210) 916-8687
Sole ProprietorNo
Enumeration DateApril 6, 2015
Last NPPES UpdateApril 8, 2015
✔ NPI 1376938399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2200 BERGQUIST DR STE 1, Lackland Afb, TX 78236
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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. Colette Poole-boykin M.d 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.

RISA CAVALCANTI RIEPMA RD
Dietitian, Registered
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND AFB, TX 78236
Bexar County (210) 292-5737
DR. JILL L STERLING M.D.
Internal Medicine (Critical Care Medicine)
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-7195
MR. JARED BRIAN COOPER
Student in an Organized Health Care Education/Training Program
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5968
JENNY H. RAINWATER AU.D.
Audiologist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. SUSAN WRIGHT MONGEAU DDS, MPH
Dentist (Dental Public Health)
2200 BERGQUIST DR STE 1
LACKLAND AFB, TX 78236
Bexar County (210) 925-1846
MR. THOMAS LOUIS DUQUETTE P.T.
Physical Therapist
2200 BERGQUIST DR STE 1, ATTN: CREDENTIALS (CMC)
LACKLAND A F B, TX 78236
Bexar County (210) 292-6707
DR. JAMES R.T. BALES M.D.
Orthopaedic Surgery
2200 BERGQUIST DR STE 1
LACKLAND A F B, TX 78236
Bexar County (210) 292-5875
MS. SONJA L BANKS-GAY RPH
Pharmacist
2200 BERGQUIST DR STE 1
LACKLAND, TX 78236
Bexar County (210) 292-7100

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 Colette Poole-boykin's NPI number?

The NPI number for Colette Poole-boykin is 1376938399. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Colette Poole-boykin located?

Colette Poole-boykin practices at 2200 Bergquist Dr Ste 1 Ste 1, Lackland Afb, TX 78236. The listed phone number is (210) 916-8687.

What is Colette Poole-boykin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Colette Poole-boykin enrolled in Medicare?

Yes. Colette Poole-boykin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colette Poole-boykin was last updated on April 8, 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.