Individual provider Active NPI

Neil Carter Boland, MD

  • Specialist
  • Stuart, FL
National Provider Identifier
1740219740
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0037591 Issued in FL
Practice address
2181 SE Ocean Blvd
Stuart, FL 34996-3305
Phone
(772) 220-8766
Fax
(772) 220-8786
NPI assigned
Jul 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME0037591 FL Primary

Addresses

Primary practice location

2181 SE Ocean Blvd
Stuart, FL 34996-3305

Mailing address

2181 SE Ocean Blvd
Stuart, FL 34996-3305
Phone (772) 220-8766

Other identifiers 1

IdentifierTypeStateIssuer
042807800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151002000142 FL Order and Referring Only - EndocrinologyPractitioner - Endocrinology 6507174075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0037591FLMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1740219740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2181 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-220-8766",
            "fax_number": "772-220-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 SE OCEAN BLVD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349963305",
            "telephone_number": "772-220-8766",
            "fax_number": "772-220-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLAND",
        "first_name": "NEIL",
        "middle_name": "CARTER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0037591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042807800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

Verify at the official NPI Registry.