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DR. WILLIE L BOYD MD NPI 1770546574


NPI Information

NPI: 1770546574
Provider Name: DR. WILLIE L BOYD, MD
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2719 MIDDLEBURG DR
SUITE 203
COLUMBIA, SC
ZIP 29204
Phone: (803) 771-6277
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DR. Willie L Boyd, MD is a specialist in Columbia, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Willie L Boyd, MD NPI is 1770546574. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2719 MIDDLEBURG DR
SUITE 203
COLUMBIA, SC
ZIP 29204-414
Phone: (803) 771-6277
Fax: (803) 771-6278

The NPI 1770546574 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 12/19/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology9198SOUTH CAROLINANo
2174400000XSpecialist9198SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E092494230MEDICARE ID-TYPE UNSPECIFIEDSOUTH CAROLINAMEDICARE
2E092494230MEDICARE UPINSOUTH CAROLINA
3009198MEDICAIDSOUTH CAROLINA
4E09249MEDICARE UPINSOUTH CAROLINA
54230MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.