Brian Patrick Boyd, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

15589 Issued in MI

Practice address

2425 Military St
BLDG 4
Port Huron, MI 48060-6692

Phone

(810) 982-5334

Fax

(810) 982-1306

NPI assigned

Sep 27, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian P Boyd DDS,PLC

  • Dentist
  • Port Huron, MI
  • NPI 1881139848
  NPD (past) Authorized official

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1831386432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "address_2": "BLDG 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-982-5334",
            "fax_number": "810-982-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 MILITARY ST",
            "address_2": "BLDG 4",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606692",
            "telephone_number": "810-982-5334",
            "fax_number": "810-982-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "15589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Boughner
• Kyrollos Boules, PT
• Bailey A Bourassa, LLPC
• Anthony W Boutt, M.D.
• Jaime Boyachek
• William McKenna Braaksma, M.D.
• Kwando Ateba-Lateef Bracey III
• Gloria M Bramlett, CRNA
• Nicholas M Branch, PA
• Manjit Singh Brar, CRNA

• Dentist in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Dentist in Michigan

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.