Boys to Gentlemen

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BOYS TO GENTLEMEN

Practice address

2310 S Miami Blvd Ste 138
Durham, NC 27703-5799

Phone

(919) 484-1717

NPI assigned

May 3, 2007

Last updated

Sep 27, 2007By 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

Ms. Lorrain W Meadows

Title

Owner

Phone

(919) 598-5355

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Boys to Gentlemen3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Boys to Gentlemen

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1356553630
  NPD tax ID
• Boys to Gentlemen

  • Community/Behavioral Health Agency
  • Greenville, NC
  • NPI 1447381181
  NPD tax ID

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1578785853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 138",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-484-1717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S MIAMI BLVD STE 138",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277035799",
            "telephone_number": "919-484-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOYS TO GENTLEMEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "LORRAIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-598-5355",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300745",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Boyle, RRT-ACCS, RCP
• Matthew John Boyle
• Reginald D Boynton Jr.
• Elizabeth Boyrer
• Boys to Gentlemen
• Boys to Gentlemen
• David P. Boyte, M.D.
• Catherine Harvey Brabender, MS, RD, LDN
• Toya Monet Brabham, RN
• Adriana Roxana Bracho

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.