MARTHA S. BOULOS M.D. – NPI #1548261787
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

MARTHA BOULOS is a psychiatry & neurologist located in HAMPTON, VA. NPPES has assigned the NPI number 1548261787 to MARTHA BOULOS on August 10, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was last updated on Jan 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARTHA BOULOS below.

NPI Profile for
MARTHA S. BOULOS

NPI Number
1548261787
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARTHA S. BOULOS
Credentials
M.D.
Primary location
4000 COLISEUM DR
STE. 200
HAMPTON, VA 23666-5906
Phone: (757) 736-8050 Fax: (757) 736-8080
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jan 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARTHA BOULOS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY02596743
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
VA 0101246181
2084S0012X
- Psychiatry & Neurology / Sleep Medicine
VA 0101246181

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.