Active NPI
Brandon Jamal Boyd
- Social Worker
- Pine Bluff, AR
National Provider Identifier
1417809567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10371-M
- Practice address
- 2214 W 35TH Ave
Pine Bluff, AR 71603-5753 - Phone
- (870) 619-5099
- NPI assigned
- Feb 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10371-M | AR | Primary |
Addresses
Primary practice location
2214 W 35TH Ave
Pine Bluff, AR 71603-5753
Mailing address
2214 W 35TH Ave
Pine Bluff, AR 71603-5753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10371-M | AR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770768000000",
"number": "1417809567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 W 35TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 W 35TH AVE",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716035753",
"telephone_number": "870-619-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYD",
"first_name": "BRANDON",
"middle_name": "JAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-11",
"last_updated": "2026-02-11",
"certification_date": "2026-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "AR",
"license": "10371-M",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pine Bluff, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.