Individual provider Active NPI

Bonnie A Boyd, M.D.

  • Internal Medicine Physician
  • New Orleans, LA
National Provider Identifier
1043220528
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD016577 Issued in LA
Practice address
3525 Prytania St.
Suite 526
New Orleans, LA 70115-3585
Phone
(504) 648-2510
Fax
(504) 897-2064
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD016577 LA Primary

Addresses

Primary practice location

3525 Prytania St.
Suite 526
New Orleans, LA 70115-3585

Mailing address

3525 Prytania St.
Suite 526
New Orleans, LA 70115-3585
Phone (504) 648-2510

Other identifiers 1

IdentifierTypeStateIssuer
1356000MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109000140 LA Practitioner - Internal Medicine 0042238974 Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD016577LAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: bboyd@imsno.directbygreenway.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1043220528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST.",
            "address_2": "SUITE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153585",
            "telephone_number": "504-648-2510",
            "fax_number": "504-897-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST.",
            "address_2": "SUITE 526",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153585",
            "telephone_number": "504-648-2510",
            "fax_number": "504-897-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "BONNIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD016577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356000",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.