Individual provider Active NPI

Pamela Boyer, DO

  • General Practice Physician
  • Bradenton, FL
National Provider Identifier
1962415612
Registry record updated Sep 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
OS9561 Issued in FL
Practice address
9908 Sr 64 East
Bradenton, FL 34212-5303
Phone
(941) 747-8600
Fax
(941) 749-5915
NPI assigned
Aug 14, 2006
Last updated
Sep 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS9561 FL
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X C20006889 DE
General Practice Physician 208D00000X OS9561 FL Primary

Addresses

Primary practice location

9908 Sr 64 East
Bradenton, FL 34212-5303

Mailing address

367 S. Gulph Rd
Att: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (775) 356-9393

Other identifiers 1

IdentifierTypeStateIssuer
P01694651OtherFLRR MEDICARE

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
I20071002000084 FL Practitioner - Emergency Medicine 3476446915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Physician Network LLC Series IIGroup PAC ID 7012282775, 67 clinicians

Practice addresses (Care Compare)

5590 Bee Ridge Rd
BLDG a
Sarasota, FL 34233-1513
Phone (941) 952-4950

6331 S Tamiami TRL
Global Physician Network LLC Series 1
Sarasota, FL 34231-3917
Phone (941) 917-5678

8431 Pointe Loop Dr
Venice, FL 34293-2232
Phone (941) 261-6800

997 US Hwy 41 Byp N
Ambulatory Care Physicians of Sarasota
Venice, FL 34285-6046
Phone (941) 952-4250

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS9561FLMDEmergency Medicine Physician
C20006889DEMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Physician Network LLC Series II Emergency Medicine CurrentSince Jul 18, 2018 Accepting new patients
Leeland ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients
Oceanwind ER SVCS Partnership LLC Emergency Medicine Past Accepting new patients

Locations

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

Organizations & group practices 3

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506470400000",
    "number": "1962415612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S. GULPH RD",
            "address_2": "ATT: IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "775-356-9393",
            "fax_number": "775-356-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9908 SR 64 EAST",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342125303",
            "telephone_number": "941-747-8600",
            "fax_number": "941-749-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "PAMELA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS9561",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "DE",
            "license": "C20006889",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS9561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01694651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.