Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Logan Wiggins Boldwill, MD

Individual provider Internal Medicine Physician · NPI 1912352675

Logan Wiggins Boldwill, MD is an Internal Medicine in Athens, Texas. Graduated from Texas a & M University System, Hsc, College of Medicine in 2016, 10 years ago. Practices with Etmc Physician Group, Inc, a 376-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
10
Trained at
Texas a & M University System, Hsc, College of Medicine
Licensed in
TX
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 S Palestine St
Athens, TX 75751-5610
Phone: (903) 676-1000
Fax: (903) 676-1337
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence R9574 (TX)

Record details

NPI number1912352675
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2016
Last updated in NPPESAugust 2, 2019
Mailing address510b Karey Dr, Temple, TX 76502-8727

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolTEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Etmc Physician Group, Inc. — 376 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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