NPIMap

Organization Active NPI

Albert Boyd MD PA

  • Family Medicine Physician
  • Desoto, TX
National Provider Identifier
1336329150
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L7315 Issued in TX
Legal business name
ALBERT BOYD MD PA
Practice address
2811 Duke of Gloucester St
Desoto, TX 75115-2017
Phone
(972) 296-7500
Fax
(972) 296-7588
NPI assigned
Nov 8, 2007
Last updated
Apr 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Authorized official

Name
Dr. Albert Boyd, M.D.NPI 1679548721
Title
MD/Ceo
Phone
(972) 296-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L7315 TX Primary

Addresses

Primary practice location

2811 Duke of Gloucester St
Desoto, TX 75115-2017

Mailing address

2811 Duke of Gloucester St
Desoto, TX 75115-2017
Phone (972) 296-7500

Other identifiers 1

IdentifierTypeStateIssuer
164013801MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040206000210 TX Part B Supplier - Clinic/Group Practice 7416860333 Receives reassigned benefits from 1 practitioner
Practice locations: Desoto, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1023167Albert Boyd, MD, PA2811 Duke of Gloucester St, Desoto, TX 75115Provider-performed microscopyMar 8, 2028

National Provider Directory

National Provider Directory

Locations

2811 Duke of Gloucester St
Desoto, TX 75115
Phone (972) 296-7500

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744156800000",
    "number": "1336329150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-296-7500",
            "fax_number": "972-296-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 DUKE OF GLOUCESTER ST",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152017",
            "telephone_number": "972-296-7500",
            "fax_number": "972-296-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT BOYD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "MD/CEO",
        "authorized_official_telephone_number": "972-296-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L7315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164013801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.