JAMES C BOMAN (MD) – Anesthesiology Physician, NPI 1689666422

JAMES C BOMAN (MD) is a healthcare provider. based in Jacksonville, Florida. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. ME 50966 (FL). The NPI Number for JAMES C BOMAN (MD) is 1689666422

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
JAMES C BOMAN (MD)
NPI
1689666422
Phone
(904) 421-2119
Address
3625 UNIVERSITY BLVD S
Enumeration Date
18 August 2005
Last Update Date
7 December 2007

Doctor Profile

Medical School Name
UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Secondary Phone
9047026111
Graduation Year
1986 (40 years ago)
PAC ID
7416056825
Group Practice PAC ID
0547534364
Professional Enrollment ID
I20070626000659
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for JAMES C BOMAN (MD)

  • Memorial Hospital, 3625, University Boulevard South, Englewood, Jacksonville, Duval County, Florida, 32216, United States

    JACKSONVILLE, FL 322164207

    Phone: (904) 421-2119

    Type: Location

  • PO BOX 57100

    JACKSONVILLE, FL 322417100

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070626000659IAnesthesiologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32216)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547534364View full group profile

Reviews

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Frequently asked questions

What number should I use to identify JAMES C BOMAN (MD) for billing?
Administrative and clinical systems typically use NPI 1689666422 for JAMES C BOMAN (MD).
Quick check: is JAMES C BOMAN (MD) active?
Public NPPES data shows JAMES C BOMAN (MD) with an active NPI status right now.
Which specialty label fits JAMES C BOMAN (MD)?
NPPES ties JAMES C BOMAN (MD) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to JAMES C BOMAN (MD)?
JAMES C BOMAN (MD) shows a connection to Jacksonville, Florida in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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