Debra L. Boyer, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4301053018 Issued in MI

Practice address

2900 Packard Rd
Ypsilanti, MI 48197-2060

Phone

(734) 572-8686

Fax

(734) 572-8866

NPI assigned

Jan 3, 2007

Last updated

Jun 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1760549281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD STE 1",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972061",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 PACKARD RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481972060",
            "telephone_number": "734-572-8686",
            "fax_number": "734-572-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "DEBRA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301053018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "debra.boyer.2@15084.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2900 Packard Rd",
            "city": "Ypsilanti",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481972060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer Sue Bowles, LCSW
• Ethan Manning Bowlin, DO
• Rebecca Ann Bowman, MSW
• Bonita Boyd
• Lisa E Boyd
• Karen Boykin
• Lia Anna Marina Boyle, MD, PHD
• Michael Rhinehart Boysen
• Kinnedy Braddock
• Alison Rachel Braden, OTRL

• Pediatrics Physician in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Pediatrics Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.