Individual provider Active NPI

Bradley Bryan Boyer, D.P.M.

  • Podiatrist
  • York, PA
National Provider Identifier
1083998231
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC006540 Issued in PA
Practice address
2300 Pleasant Valley Rd
York, PA 17402-9627
Phone
(717) 757-3537
Fax
(717) 718-9701
NPI assigned
Oct 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X SC006540 PA Primary

Addresses

Primary practice location

2300 Pleasant Valley Rd
York, PA 17402-9627

Mailing address

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Other practice location 1

1042 Lititz Pike
Lititz, PA 17543-9328
Phone (717) 757-3537

Other practice location 2

35 Erick Rd
Lancaster, PA 17601-3111
Phone (717) 757-3537

Other practice location 3

207 Blooming Grove Rd
Hanover, PA 17331-7917
Phone (717) 757-3537

Other identifiers 6

IdentifierTypeStateIssuer
50125007OtherPACAPITAL BLUE CROSS
003059753OtherPAHIGHMARK BC BS
102932936MedicaidPA
4268108OtherPACIGNA
4860021OtherPAAETNA
P01355056OtherPAPALMETTO / RAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140812001911 PA Practitioner - Podiatry 7315176138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians

Practice addresses (Care Compare)

2300 Pleasant Valley Rd
York, PA 17402-9627
Phone (717) 757-3537

Hospital & facility affiliations

  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Wellspan Waynesboro Hospital Hospital, Waynesboro, PA, CCN 390138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of skin lesions190
Removal of nail tissue1705
Removal or shaving of skin growth578
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Wellspan Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Wellspan Medical Group Past Accepting new patients

Locations

207 Blooming Grove Rd
Hanover, PA 17331
Phone (717) 637-6356

35 Erick Rd
Lancaster, PA 17601
Phone (717) 690-0785

1042 Lititz Pike
Lititz, PA 17543

2300 Pleasant Valley Rd
Bldg 3
York, PA 17402
Phone (717) 332-7990

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

2300 Pleasant Valley Rd
York, PA 17402
Phone (717) 812-5121

1600 S George St
York, PA 17403
Phone (717) 848-3615

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

Interoperability endpoints

  • Direct secure messaging: bboyer113131@wellspan.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1083998231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PLEASANT VALLEY RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029627",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-9701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1042 Lititz Pike",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "175439328",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Erick Rd",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176013111",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Blooming Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Hanover",
            "state": "PA",
            "postal_code": "173317917",
            "country_code": "US",
            "telephone_number": "717-757-3537",
            "fax_number": "717-718-8665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYER",
        "first_name": "BRADLEY",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-06",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50125007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC BS",
            "identifier": "003059753",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102932936",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4268108",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4860021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO / RAILROAD MEDICARE",
            "identifier": "P01355056",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.