JOSHUA BLAKE DUBOSE PA-C
NPI 1700997665
Physician Assistant - Medical in Conroe, TX

Q: What is Joshua Dubose's NPI number?

The NPI number for Joshua Dubose is 1700997665. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Joshua Dubose's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Joshua Dubose was last updated on March 9, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 31, 2006PECOS Enrolled

4015 INTERSTATE 45 N, CONROE, TX 77304(936) 756-6631 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Joshua Blake Dubose Pa-c NPPES

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

JOSHUA BLAKE DUBOSE PA-C (NPI 1700997665) is an individual medical provider in Conroe, Texas, licensed in Texas (PA04882) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700997665

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSHUA BLAKE DUBOSECredential: PA-C

Location Address4015 INTERSTATE 45 NConroe, TX 77304-4901

Mailing Address4015 Interstate 45 NConroe, TX 77304-4901 · (936) 756-6631

Phone(936) 756-6631

Sole ProprietorNo

Enumeration DateAugust 31, 2006

Last NPPES UpdateMarch 9, 2010

✔ NPI 1700997665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA04882

4015 INTERSTATE 45 N, Conroe, TX 77304

Open in Google Maps ↗

Other Identifiers 2

Medicaid188072603TX

Medicare PIN8L2974TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joshua Blake Dubose Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers19 claims19 services$29.09 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier17 claims17 services$88.95 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$185.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 11

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

MARK ANTHONY WALKER PT

Physical Therapist