Laurel Brianne Boyd, DO
Individual provider Active NPI Family Medicine Physician · Fort Wayne, IN
NPI 1184299653 · NPPES record last updated Aug 13, 2026
Key facts
- NPI
- 1184299653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 02008900A (IN)
- Practice address
- 10515 Illinois Rd
Fort Wayne, IN 46814-9182 - Phone
- (260) 373-9200
- Fax
- (260) 373-9219
- NPI assigned
- May 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Marian University College of Osteopathic Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Berkshire Faculty Services Inc
Practice addresses (Care Compare)
197 Adams Rd
Williamstown, MA 01267-2930
Phone (413) 346-1845
Hospital & facility affiliations
- Berkshire Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241227001413 | WI | Practitioner - Family Practice | 5890198766 | |
| I20250806000616 | MA | Practitioner - Emergency Medicine |
5890198766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Fairview Hospital | Current |
Accepting new patients | |
| Berkshire Faculty Services Inc | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current | Accepting new patients | |
| Eastern Maine Medical Center | Past |
Accepting new patients | |
| Eastern Maine Medical Center | Past |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
780 S Main St
Ste 2
Gt Barrington, MA 01230
Phone (413) 447-2498
725 North St
Pittsfield, MA 01201
Phone (413) 447-2839
42 Summer St
Ste 301
Pittsfield, MA 01201
Phone (413) 442-0085
197 Adams Rd
Williamstown, MA 01267
Phone (413) 458-8182
1630 N Chippewa Dr
Rhinelander, WI 54501
Phone (715) 361-5480
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1022939 | MA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 02008900A | IN | Yes |
Addresses
Primary practice location
10515 Illinois Rd
Fort Wayne, IN 46814-9182
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other providers in Fort Wayne, IN
- Emily S Bowsher
- Mark Alan Boxell
- Addeline Boxerman
- Jaclyn Boyd
- Julie Boyd
- Matthew Lovell Boyd
- Scott C Boyd
- Madison Paige Boyden
- Robin R Boyer
- Danielle Boykin
All providers in Fort Wayne, IN · Family Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.