Boat Club Medical
NPI 1720473846 · Specialist · Ft Worth, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Boat Club Medical is a Specialist organization in Ft Worth, TX (NPI 1720473846).
Provider details
- NPI number
- 1720473846
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jerry Davis, Provider/Owner(817) 917-2630
- License
- F9351 (TX)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-06
- Last updated
- 2015-04-06
Frequently asked questions
- What is Boat Club Medical's NPI number?
- Boat Club Medical's National Provider Identifier (NPI) is 1720473846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boat Club Medical?
- Boat Club Medical is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Boat Club Medical located?
- Boat Club Medical's practice location on file with NPPES is 3963 Boat Club Rd, Ft Worth, TX 76135-3202.
- What is Boat Club Medical's phone number?
- The practice phone number listed in the NPPES registry for Boat Club Medical is (817) 917-2630.
- Does Boat Club Medical accept Medicare?
- Boat Club Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Boat Club Medical?
- The authorized official listed on Boat Club Medical's NPPES record is Jerry Davis, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boat Club Medical's NPI active?
- Yes — Boat Club Medical's NPI (1720473846) is active in the NPPES registry as of the last update on 2015-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.