DR. JONATHAN BRADFORD BOYD M.D. NPI 1649624420

NPI Information

NPI: 1649624420
Provider Name: DR. JONATHAN BRADFORD BOYD, M.D.
Classification: Pediatrics - 2080P0203X
Specialization: Pediatric Critical Care Medicine
Entity Type: Individual
PECOS Registration: Yes
Address: 701 GROVE RD FL 6
GREENVILLE, SC
ZIP 29605
Phone: (864) 455-7146

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NPI Details

DR. Jonathan Bradford Boyd, M.D. is a pediatric critical care medicine pediatrics in Greenville, SC. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. DR. Jonathan Bradford Boyd, M.D. NPI is 1649624420. 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:

701 GROVE RD FL 6
GREENVILLE, SC
ZIP 29605-210
Phone: (864) 455-7146
Fax: (864) 455-5380

The NPI 1649624420 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 4/19/2016 and was last updated on 8/16/2022.

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		59156	TENNESSEE	No
2	208M00000X	Hospitalist		59156	TENNESSEE	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	2080P0203X	Pediatrics	Pediatric Critical Care Medicine	88103	SOUTH CAROLINA	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	PENDING	MEDICAID	SOUTH 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: 3/30/2025

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