Charles Edward Bouldin, R.P.T.
Specialist · Tupelo, MS
Charles Edward Bouldin, R.P.T. is a specialist with a practice address in Tupelo, Mississippi, and NPI 1679690101, issued on Mar 22, 2007. Check the license (Mississippi PT0198, as entered in NPPES) with the Mississippi board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Charles Edward Bouldin
- Credential
- R.P.T.
- Primary taxonomy
- Specialist 174400000X
- License number
- PT0198 MS
Self-reported in NPPES; status is on the state search - Practice location
- 4749 S Eason Blvd, Tupelo, MS 38801
- Phone
- (662) 842-3336
- Enumerated
- Mar 22, 2007
- Record last updated
- Nov 8, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (662) 842-3363
- Medicare enrollment
- Enrolled (PECOS I20101129000171); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest specialist records → All 220 in Mississippi → Look up another NPI →
Also registered at 4749 S Eason Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bobbie Vanslyke, FNP-BC, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1134257629
Verify Charles Edward Bouldin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Mississippi board licenses this profession
Search for license PT0198Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Charles Edward Bouldin among 220 specialist records in Mississippi
Charles Edward Bouldin, R.P.T. is one of 220 specialist records with a practice address in Mississippi. 36% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 56% of them.
- NPI issued2007 · 56% of these records are older, 30% newer
- In a Medicare fileNo · 36% of these records are
- In the CMS Doctors and Clinicians fileYes · 27% of these records are
- Graduated1976 · median 1991 among the 60 with a school on file
- Record last updated2010 · 89% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a Mississippi practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Specialist providers in Mississippi
There are 220 specialist records in Mississippi. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 220 in Mississippi → Every provider in Tupelo → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Elishia ClantonTupelo, MS 388011679241327
- Walter Eckman, M.D.Tupelo, MS 388011699768754
- Lenora Grayson, PT, DPTTupelo, MS 388011952617722
- John Smith, CPTupelo, MS 388041972923001
- Stephanie Walker, PTATupelo, MS 388041962718759
- Robert Dale, M.D.Amory, MS 388211215041652
- Joseph Wolfe, M.D.Booneville, MS 388291598762890
- Laura Crecelius, M.D.Corinth, MS 388341861470627
Common questions
What is Charles Edward Bouldin, R.P.T.'s NPI number?
Charles Edward Bouldin, R.P.T.'s National Provider Identifier (NPI) is 1679690101, issued on Mar 22, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Charles Edward Bouldin, R.P.T. located?
The NPPES record lists a practice address at 4749 S Eason Blvd, Tupelo, MS, 38801. Phone: (662) 842-3336. Providers update this record themselves, so call before visiting.
How can I verify Charles Edward Bouldin, R.P.T.'s license?
NPPES lists Mississippi license number PT0198, as entered by the provider. Search the Mississippi board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.