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BRIAN P BOLEY PA
NPI 1396721429
Physician Assistant in Fort Lupton, CO

Active since December 20, 2005PECOS Enrolled
1115 2ND ST, FORT LUPTON, CO 80621(303) 857-4388(303) 857-1179 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian P Boley Pa NPPES

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

BRIAN P BOLEY PA (NPI 1396721429) is an individual physician assistant in Fort Lupton, Colorado, licensed in Colorado (1629) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396721429
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRIAN P BOLEYCredential: PA
Location Address1115 2ND STFort Lupton, CO 80621-1745
Mailing Address203 S Rollie AveFort Lupton, CO 80621-1508 · (303) 286-4560 · Fax (303) 286-4589
Phone(303) 857-4388
Fax(303) 857-1179
Sole ProprietorNo
Enumeration DateDecember 20, 2005
Last NPPES UpdateJuly 13, 2007
✔ NPI 1396721429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1629
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1115 2ND ST, Fort Lupton, CO 80621
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Other Identifiers 2

Medicare ID-Type Unspecified491688CO
Medicare UPINP85061CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian P Boley Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

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

TILLMAN FARLEY MD
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 857-2771
SUSAN A HANSON DH
Dental Hygienist
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 857-2771
YSELL D CORDOBA LPC
Counselor (Professional)
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 697-2583
ELIZABETH GUTIERREZ
Physician Assistant
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (720) 332-9445
KATHERINE RUFNER MD
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 857-2771
ANABEL RUIZ
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 697-2583
KALINA EHRENREICH-PIOT D.O.
Family Medicine
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 697-2583
SALUD FAMILY HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
1115 2ND ST
FORT LUPTON, CO 80621
Weld County (303) 697-2583

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 Brian Boley's NPI number?

The NPI number for Brian Boley is 1396721429. It was assigned to this individual provider in the NPPES registry on December 20, 2005.

Where is Brian Boley located?

Brian Boley practices at 1115 2nd St, Fort Lupton, CO 80621. The listed phone number is (303) 857-4388.

What is Brian Boley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Brian Boley enrolled in Medicare?

Yes. Brian Boley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brian Boley was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.