Brent M Boyce MD PC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

4301074469 Issued in MI

Legal business name

BRENT M BOYCE MD PC

Doing business as

Saginaw Bay Dermatology

Practice address

106 E. Main St.
Sebewaing, MI 48759-1568

Phone

(989) 883-3800

Fax

(989) 883-9131

NPI assigned

Mar 12, 2007

Last updated

Aug 19, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mardi Pavlichek

Title

Office Manager

Phone

(989) 883-3800

Specialties & licenses 2

Addresses

Other names 1

• Saginaw Bay Dermatology Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Brent M. Boyce, M.D.

  • Dermatology Physician
  • Sebewaing, MI
  • NPI 1417944786
  Medicare reassignment Care Compare group NPD
• Erin Koepplinger, FNP-C

  • Nurse Practitioner
  • Bay City, MI
  • NPI 1841629011
  Medicare reassignment Care Compare group NPD
• Jessica Lynn Lauria, NP

  • Nurse Practitioner
  • Bay City, MI
  • NPI 1801370473
  Medicare reassignment Care Compare group NPD
• Madeline Rose Welch, PA-C

  • Physician Assistant
  • Bay City, MI
  • NPI 1720968456
  Medicare reassignment Care Compare group NPD
• Korrie Louise Willson, FNP-BC

  • Family Nurse Practitioner
  • Bay City, MI
  • NPI 1962106096
  Medicare reassignment Care Compare group NPD
• Lisa Marie Reed, MHS, PAC

  • Physician Assistant
  • Bay City, MI
  • NPI 1952510588
  Medicare reassignment Care Compare group
• Olivia Williamson, PA-C

  • Physician Assistant
  • Sebewaing, MI
  • NPI 1477338184
  Medicare reassignment Care Compare group
• James J Yousif, D.O.

  • Dermatology Physician
  • Troy, MI
  • NPI 1962780841
  Medicare reassignment Care Compare group
• Frank Joseph Ferritto, PA-C

  • Physician Assistant
  • Knightdale, NC
  • NPI 1295780849

  MI

  Medicare reassignment Care Compare group
• Benjamin Jay Workman, M.D.

  • Dermatology Physician
  • Midland, MI
  • NPI 1568751931
  Medicare reassignment NPD
• Lisa A. Brown, PAC

  • Surgical Physician Assistant
  • Bay City, MI
  • NPI 1962552273
  Medicare reassignment
• Bishr Al Dabagh, MD

  • MOHS-Micrographic Surgery Physician
  • Mooresville, NC
  • NPI 1154565661
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282176000000",
    "number": "1982736054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E. MAIN STREET",
            "city": "SEBEWAING",
            "state": "MI",
            "postal_code": "487591568",
            "telephone_number": "989-883-3800",
            "fax_number": "989-883-9131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E. MAIN ST.",
            "city": "SEBEWAING",
            "state": "MI",
            "postal_code": "487591568",
            "telephone_number": "989-883-3800",
            "fax_number": "989-883-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT M BOYCE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-08-19",
        "status": "A",
        "authorized_official_last_name": "PAVLICHEK",
        "authorized_official_first_name": "MARDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-883-3800"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004463",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "4301074469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saginaw Bay Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristin Bearden, PA
• Chloe Berka
• Brooke Stacie Bloomfield, FNP-BC
• Bradi K Boyce, DDS
• Brent M. Boyce, M.D.
• Canfield Family Practice, LLP
• Cheryl A B Canfield, D. O.
• Dalton P Coe DDS PC
• Philip Richard Dast, R.PH.
• Claire Helen Gainforth

• Medical Physician Assistant in Sebewaing, MI
• Providers in Sebewaing, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.