Active NPI 1730151457 Individual Practitioner Male Practitioner

Dr. Bradley A Boone , MD

Surgery - Vascular Surgery • Georgetown, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Boone, MD is a certified Surgery - Vascular Surgery practicing in Georgetown, TX. With approximately 30 years of clinical experience since graduating from Tulane University School Of Medicine in 1996, Dr. Boone delivers high-quality medical care to the local community at 3201 S AUSTIN AVE.

Dr. Boone maintains professional affiliations with Cardiothoracic And Vascular Surgeons,Pa, Monument Health Rapid City Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of both sides of head and neck blood flow, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3201 S Austin Ave

Georgetown, TX 786267545

Telephone 5124598753

Fax 5124836807

Associated Practice Facility / Clinic

🏢 Georgetown Ear, Nose And Throat Center, Pa Facility NPI 1306984992

Medicare Profile & Education

Medical School

Tulane University School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Vascular Surgery in Georgetown, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 24.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Georgetown, TX (377 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boone (30 Years) 30 Yrs

Georgetown Specialty Average (30.0 Years) 30.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	122	97	$154.00	$85.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	62	$235.00	$121.57
93880 Ultrasound of both sides of head and neck blood flow	82	63	$655.00	$180.85
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	67	57	$147.00	$46.53
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	42	38	$455.00	$106.91
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	40	31	$30.00	$10.72
93922 Ultrasound study of arm and leg arteries	39	28	$330.00	$69.07
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	38	34	$3951.00	$1038.34
93990 Ultrasound of dialysis access	33	22	$485.00	$108.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$350.00	$162.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$235.00	$108.41
93926 Ultrasound of one leg arteries or artery grafts	20	13	$485.00	$116.76
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	18	18	$817.08	$226.92
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	18	$2002.00	$604.72
36907 Balloon dilation of dialysis segment with review by radiologist	18	18	$2244.00	$549.39
36821 Relocation of arm vein with connection to arm artery, open procedure	17	16	$1814.29	$555.40
36832 Revision of dialysis graft, open procedure	14	14	$1983.14	$647.11
36589 Removal of central venous catheter for infusion	13	13	$504.00	$156.26
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	12	12	$900.00	$134.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	150	$235.00	$124.64
93880 Ultrasound of both sides of head and neck blood flow	95	78	$655.00	$185.51
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	81	69	$147.00	$47.70
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	67	39	$30.00	$10.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$350.00	$160.24
93922 Ultrasound study of arm and leg arteries	59	38	$330.00	$71.77
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	47	40	$455.00	$109.34
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	40	34	$3951.00	$1098.62
99213 Established patient office or other outpatient visit, typically 15 minutes	33	33	$154.00	$88.03
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	22	15	$109.15	$80.01
36589 Removal of central venous catheter for infusion	18	18	$504.00	$136.60
36907 Balloon dilation of dialysis segment with review by radiologist	18	15	$2244.00	$575.32
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	16	15	$2002.00	$644.14
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	15	15	$817.08	$240.35
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$342.00	$97.77
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$1807.00	$626.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$235.00	$117.62
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$500.00	$113.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	145	113	$154.00	$88.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	80	$235.00	$121.26
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	72	48	$30.00	$10.21
93880 Ultrasound of both sides of head and neck blood flow	69	57	$655.00	$188.22
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	60	52	$147.00	$49.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$235.00	$101.88
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	40	34	$455.00	$113.76
93922 Ultrasound study of arm and leg arteries	35	29	$330.00	$71.47
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	34	33	$3951.00	$1114.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$350.00	$160.31
36821 Relocation of arm vein with connection to arm artery, open procedure	24	24	$1807.00	$565.62
93990 Ultrasound of dialysis access	22	14	$485.00	$127.08
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$645.00	$169.17
36589 Removal of central venous catheter for infusion	20	20	$504.00	$126.72
76998 Ultrasonic guidance during surgery	20	18	$200.00	$58.57
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	18	16	$109.15	$79.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$235.00	$98.67
76937 Ultrasonic guidance for blood vessel access	17	16	$55.00	$13.31
93985 Complete ultrasound of artery and vein blood flow pre-op assessment on both sides of body for hemodialysis access	15	15	$817.08	$229.31
35301 Removal of blood clot and portion of artery of neck	13	13	$4500.00	$1050.24
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	13	$900.00	$184.29
97608 Negative pressure wound therapy surface area greater than 50 square centimeters	13	12	$150.00	$21.99
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	13	11	$2002.00	$710.39
36907 Balloon dilation of dialysis segment with review by radiologist	11	11	$2244.00	$596.77
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$215.00	$17.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	208	145	$154.00	$88.67
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	97	59	$30.00	$10.20
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	70	60	$147.00	$50.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$235.00	$106.19
76998 Ultrasonic guidance during surgery	46	38	$200.00	$59.48
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	44	40	$3951.00	$1238.33
93880 Ultrasound of both sides of head and neck blood flow	43	37	$655.00	$195.16
93990 Ultrasound of dialysis access	33	26	$485.00	$126.99
93922 Ultrasound study of arm and leg arteries	33	32	$330.00	$79.29
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	31	28	$455.00	$118.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	30	30	$645.00	$162.38
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	27	23	$215.00	$18.10
37607 Tying or banding of a passage between an artery and vein	24	20	$1158.00	$267.84
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	24	20	$900.00	$182.86
93930 Ultrasound study of arteries and arterial grafts of both arms	23	23	$645.00	$201.18
36831 Removal of blood clot from dialysis graft, open procedure	23	21	$1067.12	$533.67
76937 Ultrasonic guidance for blood vessel access	22	20	$55.00	$13.56
36821 Relocation of arm vein with connection to arm artery, open procedure	20	20	$1807.00	$579.92
36832 Revision of dialysis graft, open procedure	15	14	$1946.00	$691.95
36589 Removal of central venous catheter for infusion	14	14	$504.00	$121.77
36830 Connection of tube graft to vein and artery for dialysis	12	11	$1807.00	$603.94
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	12	12	$109.15	$81.21
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$500.00	$106.84
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	11	11	$2002.00	$721.50
76000 Imaging guidance for procedure, 60 minutes or less	11	11	$95.00	$14.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	137	$154.00	$73.47
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	78	71	$147.00	$49.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$235.00	$105.47
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	55	50	$3951.00	$1207.31
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	47	29	$30.00	$10.20
76998 Ultrasonic guidance during surgery	40	37	$200.00	$62.13
93880 Ultrasound of both sides of head and neck blood flow	38	35	$655.00	$193.98
93970 Ultrasound study of arm or leg veins with compression and maneuvers	27	27	$645.00	$160.93
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	26	25	$455.00	$116.92
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	26	25	$2002.00	$680.55
93922 Ultrasound study of arm and leg arteries	25	24	$330.00	$77.62
93990 Ultrasound of dialysis access	23	16	$485.00	$130.97
36831 Removal of blood clot from dialysis graft, open procedure	23	20	$1067.12	$581.57
36821 Relocation of arm vein with connection to arm artery, open procedure	22	21	$1807.00	$659.36
93930 Ultrasound study of arteries and arterial grafts of both arms	20	20	$645.00	$200.28
36907 Balloon dilation of dialysis segment with review by radiologist	20	19	$2244.00	$677.00
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$500.00	$99.56
36589 Removal of central venous catheter for infusion	16	13	$504.00	$133.44
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	16	16	$660.00	$165.62
36830 Connection of tube graft to vein and artery for dialysis	16	15	$1807.00	$662.93
37607 Tying or banding of a passage between an artery and vein	15	14	$1158.00	$286.18
36832 Revision of dialysis graft, open procedure	14	13	$1946.00	$672.09
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	11	$215.00	$18.70
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	13	12	$900.00	$162.12
93931 Ultrasound of one arm arteries or artery grafts	13	13	$455.00	$125.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$235.00	$103.65
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	11	11	$444.00	$131.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	323	203	$154.00	$71.13
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	91	71	$147.00	$48.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$235.00	$102.34
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	64	34	$30.00	$10.01
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	63	51	$3931.22	$1201.93
76000 Imaging guidance for procedure, 60 minutes or less	60	53	$231.00	$45.09
93880 Ultrasound of both sides of head and neck blood flow	50	43	$655.00	$189.11
76000 Imaging guidance for procedure, 60 minutes or less	49	46	$95.00	$15.27
76998 Ultrasonic guidance during surgery	43	38	$200.00	$62.28
93922 Ultrasound study of arm and leg arteries	39	34	$330.00	$80.92
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	31	23	$455.00	$112.78
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	28	26	$660.00	$194.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	26	$235.00	$98.73
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	25	25	$500.00	$116.76
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	24	21	$1930.83	$607.02
36821 Relocation of arm vein with connection to arm artery, open procedure	24	24	$1807.00	$658.17
36589 Removal of central venous catheter for infusion	23	23	$504.00	$123.61
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	23	19	$900.00	$198.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	17	$215.00	$18.48
36831 Removal of blood clot from dialysis graft, open procedure	21	19	$1067.12	$567.92
36907 Balloon dilation of dialysis segment with review by radiologist	20	15	$2244.00	$689.84
76937 Ultrasonic guidance for blood vessel access	19	17	$55.00	$14.33
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	18	$444.00	$126.64
76998 Ultrasonic guidance during surgery	17	15	$549.00	$176.58
37607 Tying or banding of a passage between an artery and vein	17	16	$1158.00	$309.44
93990 Ultrasound of dialysis access	16	15	$485.00	$129.08
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	14	13	$109.15	$84.96
36832 Revision of dialysis graft, open procedure	14	13	$1946.00	$714.89
36907 Balloon dilation of dialysis segment with review by radiologist	13	12	$381.00	$147.42
75710 Radiological supervision and interpretation of imaging of artery of one arm or leg	13	13	$696.00	$161.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	279	166	$154.00	$69.79
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	193	93	$30.00	$10.25
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	121	100	$147.00	$48.91
76000 Imaging guidance for procedure, 60 minutes or less	108	90	$231.00	$45.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$235.00	$102.53
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	76	65	$3828.11	$1152.15
76998 Ultrasonic guidance during surgery	55	47	$200.00	$61.67
37252 Ultrasound evaluation of blood vessel with review by radiologist, initial vessel	40	36	$4334.00	$1292.26
36589 Removal of central venous catheter for infusion	35	35	$504.00	$123.70
76998 Ultrasonic guidance during surgery	32	31	$549.00	$174.75
36821 Relocation of arm vein with connection to arm artery, open procedure	29	28	$1807.00	$654.73
76937 Ultrasonic guidance for blood vessel access	29	25	$55.00	$14.18
93880 Ultrasound of both sides of head and neck blood flow	28	26	$655.00	$195.03
37253 Ultrasound evaluation of blood vessel with review by radiologist, each additional vessel	25	18	$664.00	$196.32
36831 Removal of blood clot from dialysis graft, open procedure	25	23	$1067.12	$553.01
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	25	25	$500.00	$117.79
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	24	22	$660.00	$189.34
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	24	22	$900.00	$202.83
36907 Balloon dilation of dialysis segment with review by radiologist	23	22	$2244.00	$715.16
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	21	18	$215.00	$18.29
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	19	17	$444.00	$114.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	19	$235.00	$102.39
37607 Tying or banding of a passage between an artery and vein	18	17	$1158.00	$278.01
93922 Ultrasound study of arm and leg arteries	18	18	$330.00	$79.94
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	18	18	$1758.00	$569.17
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$95.00	$42.07
93979 Ultrasound scan of blood flow of aorta, vena cava, bypass graphs, or one side of the groin or limited scan	14	13	$455.00	$109.42
76000 Imaging guidance for procedure, 60 minutes or less	13	12	$95.00	$8.58
36907 Balloon dilation of dialysis segment with review by radiologist	12	11	$381.00	$146.64
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$500.00	$106.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	278	161	$154.00	$69.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$235.00	$98.91
99153 Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes	70	35	$30.00	$10.13
76937 Ultrasonic guidance for blood vessel access	64	48	$55.00	$14.12
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	47	45	$147.00	$47.64
76000 Imaging guidance for procedure, 60 minutes or less	45	42	$231.00	$43.55
93880 Ultrasound of both sides of head and neck blood flow	41	34	$655.00	$190.10
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	38	38	$500.00	$115.00
76998 Ultrasonic guidance during surgery	37	32	$200.00	$61.46
36821 Relocation of arm vein with connection to arm artery, open procedure	29	28	$1807.00	$652.76
36902 Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist	26	24	$3750.00	$1136.56
36558 Insertion of tunneled central venous tube for infusion (5 years or older)	25	24	$900.00	$194.92
37607 Tying or banding of a passage between an artery and vein	24	23	$1158.00	$275.62
36831 Removal of blood clot from dialysis graft, open procedure	22	19	$1067.12	$569.18
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	22	19	$215.00	$18.54
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	20	20	$444.00	$107.41
36589 Removal of central venous catheter for infusion	18	17	$474.67	$123.28
36247 Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch	17	15	$1250.00	$239.58
36830 Connection of tube graft to vein and artery for dialysis	16	16	$1807.00	$618.88
93922 Ultrasound study of arm and leg arteries	16	16	$330.00	$80.77
36832 Revision of dialysis graft, open procedure	15	14	$1946.00	$724.07
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$235.00	$101.92
36901 Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation	11	11	$1758.00	$524.39

Medical Specialties & State Licenses

CMS Verified: 2024-10-29

Surgery - Vascular Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0129X

State License TX P8338

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Surgery - Vascular Surgery

NUCC Taxonomy Code: 2086S0129X

State License OK 44117

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

201292450A (OK)

Medicaid State Provider ID

333764R401 (TX)

Hospital & Practice Group Affiliations

Monument Health Rapid City Hospital Inc

353 Fairmont Blvd, Rapid City, SD 577017375

Phone: 6057558109

Cardiothoracic And Vascular Surgeons,pa

1010 W 40th St, Austin, TX 787564010

Phone: 5124598753

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. William Kessler , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1013925585

Doctor of Medicine (M.D.)

Dr. Jeffrey Mcneil , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1043290935

Doctor of Medicine (M.D.)

Dr. Emery Dilling , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1073527008

Doctor of Medicine (M.D.)

Dr. Nicolas Zea , MD

Surgery - Vascular Surgery

NPI 1083855050

Doctor of Medicine (M.D.)

Dr. Jeffrey Jobe , MD

Surgery - Vascular Surgery

NPI 1124042411

Doctor of Medicine (M.D.)

Dr. Brendan Dewan , MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)

NPI 1134445539

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2024

Surgery (License #44117 in OK)

📍

Updated Practice Location January 25, 2019

Registered at 3201 S AUSTIN AVE, GEORGETOWN, TX 786267545 (Tel: 5124598753)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 25, 2019

Surgery (License #P8338 in TX)

✅

NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 05, 2011

Registered at 2111 14TH ST, MERIDIAN, MS 393014041 (Tel: 6016933834)

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Updated Business Mailing Address October 05, 2011

Registered at 2111 14TH ST, MERIDIAN, MS 393014041 (Tel: 6016933834)

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Provider Name / Credentials Updated October 05, 2011

Recorded as BRADLEY BOONE, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Surgery (License #17601 in MS)

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Initial NPI Registration & Enumeration February 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1730151457

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 06, 2006

Last Update: October 29, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2111 14th St

Meridian, MS 393014041

Phone: 6016933834

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.