Brian Glen Boyls-White, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

L920244 Issued in MI

Practice address

1000 S State St
Ann Arbor, MI 48109-2201

Phone

(734) 763-9948

NPI assigned

Feb 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Michigan

  • Physical Therapy Clinic/Center
  • Ann Arbor, MI
  • NPI 1841349545
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1053385997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 THE HEIGHTS LN",
            "city": "CALERA",
            "state": "AL",
            "postal_code": "350407669",
            "telephone_number": "703-690-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481092201",
            "telephone_number": "734-763-9948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLS-WHITE",
        "first_name": "BRIAN",
        "middle_name": "GLEN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "L920244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel F Boyer, MD, PHD
• Jessica Carol Boylan, PMHNP-BC
• Conner Boyle
• Mariaelena Boyle, MD
• Tampeka Boyles
• James R Boynton, DDS
• Kyla Boyse, MS, RN, CPNP
• Danielle Jeanette Bozaan, NP
• David Andrew Bozaan, M.D.
• Katrina Angela Bozada, MD

• Athletic Trainer in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.