PAMELA GRAY BOLAND M.D. NPI 1538279864

NPI Information

NPI: 1538279864
Provider Name: PAMELA GRAY BOLAND, M.D.
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

Address:
125 MEDICAL PARK LN
SUITE H
MURPHY, NC
ZIP 28906
Phone: (828) 837-2128
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Pamela Gray Boland, M.D. is a pediatric emergency medicine pediatrics in Murphy, NC. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Pamela Gray Boland, M.D. NPI is 1538279864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

125 MEDICAL PARK LN
SUITE H
MURPHY, NC
ZIP 28906-920
Phone: (828) 837-2128
Fax: (828) 837-6244

The enumeration date for this NPI number is 8/30/2006 and was last updated on 11/11/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		24742	NORTH CAROLINA	No
2	207P00000X	Emergency Medicine		N2009	TEXAS	No
3	2080P0204X	Pediatrics	Pediatric Emergency Medicine	N2009	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1538279864	OTHER	TEXAS	TRICARE SOUTH
2	201428401	MEDICAID	TEXAS
3	8BE069	OTHER	TEXAS	BCBSTX
4	1538279864	OTHER	TEXAS	BCBSTX
5	C81261	MEDICARE UPIN	NORTH CAROLINA
6	202420	MEDICARE ID-TYPE UNSPECIFIED	NORTH CAROLINA
7	8L11947	MEDICARE PIN	TEXAS
8	8916463	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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