Organization Active NPI

Boland Neurology, LLC

  • Neurology Physician
  • Pensacola, FL
National Provider Identifier
1962280941
Registry record updated Nov 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BOLAND NEUROLOGY, LLC
Practice address
14 W Jordan St Ste 134
Pensacola, FL 32501-1740
Phone
(850) 741-5990
Fax
(850) 741-5991
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2023

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

Authorized official

Name
Dr. Deborah Finley Boland, DONPI 1093976680
Title
Owner
Phone
(850) 741-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

14 W Jordan St Ste 134
Pensacola, FL 32501-1740

Mailing address

14 W Jordan St Ste 134
Pensacola, FL 32501-1740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231107001300 FL Part B Supplier - Clinic/Group Practice 8921455338 Receives reassigned benefits from 1 practitioner
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

14 W Jordan St
Ste 134
Pensacola, FL 32501
Phone (850) 741-5990

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698796800000",
    "number": "1962280941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST STE 134",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W JORDAN ST STE 134",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011740",
            "telephone_number": "850-741-5990",
            "fax_number": "850-741-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND NEUROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-11-01",
        "certification_date": "2023-11-01",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "FINLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-741-5990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.