Boyle Clinics PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD23277 Issued in OR

Legal business name

BOYLE CLINICS PC

Practice address

2200 NE Neff Rd
Suite 204
Bend, OR 97701-4283

Phone

(541) 382-8346

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward M Boyle, MDNPI 1972581437

Title

President

Phone

(541) 382-8346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Inovia Other name

Locations

Practitioners 1

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.

• Edward M Boyle Jr., MD

  • Surgery Physician
  • Bend, OR
  • NPI 1972581437

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417014150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD",
            "address_2": "SUITE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014283",
            "telephone_number": "541-382-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD",
            "address_2": "SUITE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014283",
            "telephone_number": "541-382-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYLE CLINICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-382-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD23277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287197",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inovia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gregory Bowers
• Geneva R Bowman
• Marijane McHenry Boyd, LMT
• Emma Sage Boyer
• Matthew Boyer
• Edward M Boyle Jr., MD
• Jody Marie Bradbury, OTR CHT
• Braden Partners LP (Pacific Pulmonary Services)
• Chelsea Bradford, PHARMD
• Mark A Bradford, M.D.

• Specialist in Bend, OR
• Providers in Bend, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.