Brent Edgeworth Boyett, DMD, DO
Individual provider Active NPI Family Medicine Physician · Hamilton, AL
NPI 1235211129 · NPPES record last updated Aug 24, 2011
Key facts
- NPI
- 1235211129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO654 (AL)
- Practice address
- 2131 Military St S
Hamilton, AL 35570-6651 - Phone
- (205) 921-5556
- Fax
- (205) 921-5595
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Mississippi Medical Center, Inc.
Practice addresses (Care Compare)
3302 W Linden St
Suite a
Corinth, MS 38834-9119
Phone (662) 331-1956
Hospital & facility affiliations
- North Mississippi Medical Center
- Marion Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, MS
- 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 |
|---|---|---|---|---|
| I20040505001712 | AL | Practitioner - Psychiatry |
2668460759 | Reassigns benefits to 2 organizations |
| I20051121000774 | MS | Practitioner - Family Practice |
2668460759 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO654 | AL | MD | Family Medicine Physician |
| 4622 | AL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Center of North Central Alabama Inc. | Current |
Accepting new patients | |
| North Mississippi Medical Center | Current | Accepting new patients | |
| App of Alabama Ed PLLC | Current |
Accepting new patients | |
| North Mississippi Medcial Center, Inc. | Current |
Accepting new patients | |
| Marion Regional Medical Center, Inc | Current |
Accepting new patients | |
| North Mississippi Medical Center Inc | Current | Accepting new patients | |
| Marion Regional Medical Center, Inc. | Current |
Accepting new patients | |
| Pathway Healthcare-Louisiana, LLC | Past | Accepting new patients |
Locations
83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195
1316 Somerville Rd SE
Ste 1
Decatur, AL 35601
Phone (256) 260-7361
4110 US Highway 31 S
Decatur, AL 35603
Phone (256) 260-7360
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1256 Military St S
Hamilton, AL 35570
Phone (205) 921-6200
1336 Military St S
Hamilton, AL 35570
Phone (205) 921-0521
1105 Earl Frye Blvd
Amory, MS 38821
Phone (662) 256-7111
3302 W Linden St
#A
Corinth, MS 38834
Phone (662) 331-1956
830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136
Interoperability endpoints
- brentboyett@nmhs.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4622 | AL | |
| Family Medicine Physician | 207Q00000X | DO654 | AL | Yes |
Addresses
Primary practice location
2131 Military St S
Hamilton, AL 35570-6651
Mailing address
2131 Military St S
Hamilton, AL 35570-6651
Phone (205) 921-0893
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009981160 | Medicaid | AL |
Other providers in Hamilton, AL
- Stephen Erskine Bolt
- Tracy Bostic Clingan
- Boyett Anesthesia
- Boyett Health Services
- Boyett Health Services, Inc.
- Tanya Brasher
- Kellie Ann Bullard
- Buttahatchee River Emergency Physicians LLC
- Detra Cale-Ellis
- Morgan Lashay Calvert
All providers in Hamilton, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2011. 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.