DR. BRENDAN JOHN BOLAND MD NPI 1790944783

NPI Information

  • NPI: 1790944783
  • Provider Name: DR. BRENDAN JOHN BOLAND, MD
  • Classification: Surgery - 2086X0206X
  • Specialization: Surgical Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 44151 15TH ST W STE 101
    LANCASTER, CA
    ZIP 93534
  • Phone: (661) 902-5600

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NPI Details

DR. Brendan John Boland, MD is a surgical oncology surgery in Lancaster, CA with 24 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Brendan John Boland, MD NPI is 1790944783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:2002

The provider's business location address is:

44151 15TH ST W STE 101
LANCASTER, CA
ZIP 93534-079
Phone: (661) 902-5600
Fax: (661) 951-0686

The NPI 1790944783 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 6/4/2008 and was last updated on 7/21/2022.

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
1208600000XSurgeryA87312CALIFORNIANo
2208600000XSurgeryME113892FLORIDANo
32086X0206XSurgerySurgical OncologyA87312CALIFORNIAYes

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
1006489500MEDICAIDFLORIDA

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: 11/21/2025

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