Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Timothy Lewis Boomer, PA-C

Medical Physician Assistant in Lubbock, TX · enumerated 2012 · practices at James Todd Rose, M.D., P.A..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710230172

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Registry record

Entity type Individual (Type 1)

Name Timothy Lewis Boomer

Credential PA-C

Sex Male

Practice address 4417 71st St, Suite 42, Lubbock, TX, 79424

Phone (806) 799-2991

Fax (806) 793-5331

Enumeration date Oct 23, 2012

Last updated in NPPES Feb 16, 2024

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Timothy Boomer's NPI record?

Cross-check NPI 1710230172 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1710230172 active?

Yes, as of the latest NPPES snapshot, NPI 1710230172 is active (record last updated 2024-02-16).

Other providers at this practice address

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James Rose Specialist · Lubbock, TX NPI 1861488827 James Todd Rose, M.D., P.A. Internal Medicine Physician · Lubbock, TX NPI 1467762021

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-16.