Individual provider Active NPI

William E Boyd Jr., MD

  • Pediatrics Physician
  • Covington, VA
National Provider Identifier
1255335899
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101041245 Issued in VA
Practice address
2501 Valley Ridge Rd
Covington, VA 24426-6339
Phone
(540) 862-4146
Fax
(540) 862-0131
NPI assigned
Jun 10, 2005
Last updated
Jun 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101041245 VA
Pediatrics Physician 208000000X 0101041245 VA Primary

Addresses

Primary practice location

2501 Valley Ridge Rd
Covington, VA 24426-6339

Mailing address

PO Box 457
200 Pocahontas Triail
White Sulphur Springs, WV 24986-0457
Phone (304) 536-5030

Other identifiers 2

IdentifierTypeStateIssuer
006717454MedicaidVA
1255335899MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100611000764 VA Practitioner - Pediatric Medicine 8820186265 Reassigns benefits to 1 organization

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1255335899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "address_2": "200 POCAHONTAS TRIAIL",
            "city": "WHITE SULPHUR SPRINGS",
            "state": "WV",
            "postal_code": "249860457",
            "telephone_number": "304-536-5030",
            "fax_number": "304-536-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 VALLEY RIDGE RD",
            "city": "COVINGTON",
            "state": "VA",
            "postal_code": "244266339",
            "telephone_number": "540-862-4146",
            "fax_number": "540-862-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101041245",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101041245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006717454",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255335899",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, VA

Sources for this page

Verify at the official NPI Registry.