Organization Active NPI

Willie L Boyd MD

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1861678054
Registry record updated Dec 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WILLIE L BOYD MD
Practice address
2719 Middleburg Dr Ste 203
Columbia, SC 29204-2414
Phone
(803) 771-6277
Fax
(803) 771-6278
NPI assigned
Jan 17, 2008
Last updated
Dec 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2013

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

Authorized official

Name
Dr. Willie L Boyd, MDNPI 1770546574
Title
Physician
Phone
(803) 771-6277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X SC Primary

Addresses

Primary practice location

2719 Middleburg Dr Ste 203
Columbia, SC 29204-2414

Mailing address

2719 Middleburg Dr Ste 203
Columbia, SC 29204-2414
Phone (803) 771-6277

Other identifiers 1

IdentifierTypeStateIssuer
009198MedicaidSC

National Provider Directory

National Provider Directory

Locations

2719 Middleburg Dr
Ste 203
Columbia, SC 29204
Phone (803) 771-6277

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386028800000",
    "number": "1861678054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-771-6277",
            "fax_number": "803-771-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 MIDDLEBURG DR STE 203",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042414",
            "telephone_number": "803-771-6277",
            "fax_number": "803-771-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE L BOYD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2013-12-03",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "803-771-6277",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009198",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; 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.