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BETH BOLDERY REEG/EPT,CNIM
NPI 1942777164
Specialist/Technologist, Other - EEG in Tyler, TX

Active since October 25, 2018
1356 OLD CREEK DR, TYLER, TX 75703(903) 534-8812(903) 939-9149 Get Directions Write a Review

NPPES record last updated: May 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2019, Oct 25, 2018 (2 updates tracked since 2018).

About Beth Boldery Reeg/ept,cnim NPPES

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

BETH BOLDERY REEG/EPT,CNIM (NPI 1942777164) is an individual eeg provider in Tyler, Texas, licensed in Texas (526) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1942777164
Entity TypeIndividualFemale
Primary Taxonomy246ZE0500X
Provider Legal NameBETH BOLDERYCredential: REEG/EPT,CNIM
Location Address1356 OLD CREEK DRTyler, TX 75703-7642
Mailing Address1356 Old Creek DrTyler, TX 75703-7642 · (903) 534-8812 · Fax (903) 939-9149
Phone(903) 534-8812
Fax(903) 939-9149
Sole ProprietorYes
Enumeration DateOctober 25, 2018
Last NPPES UpdateMay 8, 20192 updates tracked since enumeration
✔ NPI 1942777164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist/Technologist, Other · EEGTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246ZE0500X
License✔ Licensed in TX · 526
Also ListedSpecialist/Technologist, Other · Surgical TechnologistTaxonomy 246ZS0410X
Also ListedTechnician, Other · EEGTaxonomy 2472E0500X · License 3497 (TX)
1356 OLD CREEK DR, Tyler, TX 75703
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Other Providers at the Same Location NPPES 12

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

BRENT T ALFORD MD PA
Neurological Surgery
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
DR. THOMAS J TRESE DO
Psychiatry & Neurology (Neurology)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (972) 724-5446
VICTOR PAINTER REEGT
Specialist/Technologist, Other (EEG)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
NEUROTEX EQUIPMENT & SUPPLY
Physiological Laboratory
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-8812
OSCAR PADILLA RIOS CNIM 3338
Specialist/Technologist, Other (Electroneurodiagnostic)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
SHANE MALONE REPT, CNIM
Specialist/Technologist, Other (Electroneurodiagnostic)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
NEURODIAGNOSTIC TEX, LLC
Electrodiagnostic Medicine
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-0809
IAN WINN REEG/EPT, CNIM
Specialist/Technologist, Other (EEG)
1356 OLD CREEK DR
TYLER, TX 75703
Smith County (903) 534-8812

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 Beth Boldery's NPI number?

The NPI number for Beth Boldery is 1942777164. It was assigned to this individual provider in the NPPES registry on October 25, 2018.

Where is Beth Boldery located?

Beth Boldery practices at 1356 Old Creek Dr, Tyler, TX 75703. The listed phone number is (903) 534-8812.

What is Beth Boldery's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, Other, specializing in EEG, with taxonomy code 246ZE0500X.

When was this NPI record last updated?

The NPPES record for Beth Boldery was last updated on May 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.