Doctor profile · Federal record

Dr. Charles Bouldin, R.P.T.

Specialist (CMS: Physical Therapist in Private Practice) · Tupelo, MS

  • NPI 1679690101
  • Accepts Medicare
  • 50 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
4749 S Eason Blvd, Suite A
Tupelo, MS 388016547
(662) 842-3336
fax (662) 842-3363

Credentials & registration

NPPES · NUCC
NPI registered
March 2007 — 19 yrs on file
Profile last updated
November 8, 2010
Year of graduation
1976 — 50 yrs since
Specialty taxonomy
174400000X — NUCC code
State license (1)
Mississippi #PT0198

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1679690101. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
573
Distinct HCPCS
4
Medicare allowed
$13,195
HCPCS Description Services Patients Avg allowed
97035 Application of ultrasound, each 15 minutes 186 13 $10
97124 Therapy procedure using massage, each 15 minutes 186 13 $22
97530 Therapy procedure using functional activities 185 13 $33
97162 Evaluation for physical therapy, typically 30 minutes 16 15 $74

In context: peer comparison

Among 1 peers in Tupelo Specialist, average services per provider: 143. This provider delivers 4.0× the peer median.

Frequently asked questions

Auto-generated from federal data
What is Dr. Charles Bouldin's medical specialty?
Dr. Charles Bouldin practices Specialist in Tupelo, MS.
Where does Dr. Charles Bouldin practice?
Dr. Charles Bouldin practices at 4749 S Eason Blvd, Tupelo, MS 388016547. Office phone: 6628423336.
What is Dr. Charles Bouldin's NPI?
Dr. Charles Bouldin's National Provider Identifier (NPI) is 1679690101, issued by NPPES.
Does Dr. Charles Bouldin accept Medicare assignment?
Yes. Dr. Charles Bouldin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Charles Bouldin commonly perform?
Top Medicare-reported procedures in 2023: Application of ultrasound (HCPCS 97035); Therapy procedure using massage (HCPCS 97124); Therapy procedure using functional activities (HCPCS 97530). Source: CMS Medicare Physician & Other Practitioners file.