BRADLEY D BOYLE (NPI# 1982684965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982684965 |
| Entity Type | Individual |
| Full Name | BRADLEY D BOYLE |
| Credential | PA |
| Practice Address |
955 High St Ste 2 Decatur IN 46733-2326 |
| Mailing Address |
6771 N 200 E Decatur IN 46733 |
| Practice Telephone | 2607248700 |
| Practice Fax Number | 2607283821 |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10000289A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255781068 | Bradley Boyle | Optometrist | 1310 1st St W, Independence, IA 50644 | 2016-06-13 |
| Street Address |
955 HIGH ST STE 2 |
| City | DECATUR |
| State | IN |
| Zip Code | 46733-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295718062 | Keith A Harvey | Family Medicine | 955 High St, Ste 1, Decatur, IN 46733-2361 | 2005-11-24 |
| 1427516103 | Adams County Memorial Hospital | Clinic/Center | 955 High St, Decatur, IN 46733-2360 | 2019-03-12 |
| 1558409698 | Hometown Healthcare PC | Nurse Practitioner | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2007-02-01 |
| 1467482034 | Mark S Gresla | Family Medicine | 955 High St, Suite 3, Decatur, IN 46733-2326 | 2006-07-03 |
| 1093741589 | Vera A Cummins | Nurse Practitioner | 955 High St, Suite 3, Decatur, IN 46733-2326 | 2006-06-25 |
| 1528094950 | Adams County Family Practice, P.C. | Family Medicine | 955 High St, Suite 3, Decatur, IN 46733-2326 | 2006-06-25 |
| 1356392955 | Keith A. Harvey Md; PC | Family Medicine | 955 High St, Ste 1, Decatur, IN 46733-2360 | 2006-05-16 |
| 1700866183 | Cameron V Nelson | Family Medicine | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2006-01-20 |
| 1629058698 | Michael E Ainsworth | Family Medicine | 955 High St, Ste 2, Decatur, IN 46733-2326 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742617 | Adams County Auditor | Public Health or Welfare | 313 W. Jefferson St., Room # 320, Decatur, IN 46733 | 2015-10-15 |
| 1184908386 | Logan D Anderson | Pharmacist | 123 N. 13th St, Decatur, IN 46733 | 2011-10-06 |
| 1992091797 | Leah D Keller | Social Worker | 815 High St Ste C, Decatur, IN 46733 | 2011-06-21 |
| 1144559493 | Preble Volunteer Firefighting Association, Inc. | Ambulance | 6242 N 400 W, Decatur, IN 46733 | 2009-12-16 |
| 1689703530 | Blake A Taylor | Dentist | 234 N First St, Decatur, IN 46733 | 2007-03-05 |
| 1124163563 | Decatur Dental Services,, Inc. | Dentist | Decatur, 6496 N Piqua Road, Decatur, IN 46733 | 2007-02-21 |
| 1215002597 | Kelly S Ulman | Dentist | 6496 N Piqua Rd, Decatur, IN 46733 | 2006-11-21 |
| 1841362712 | James E Taylor Dds and Associates Family Dentistry | Dentist | 234 N 1st St, Decatur, IN 46733 | 2006-11-15 |
| 1598844946 | Michael Alan Harshman | Optometrist | 815 South 13th St., Decatur, IN 46733 | 2006-11-06 |
| 1376043752 | Adams County Memorial Hospital | Clinic/Center | 1100 Mercer Ave, Decatur, IN 46733 | 2018-02-13 |
| Find all providers in zip 46733 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374860 | Lauren Nolan | Physician Assistant | 500 Irvin Ct # 200, Decatur, GA 30030-1705 | 2020-07-23 |
| 1134749930 | Elissa Stanton | Physician Assistant | 1280 Sanden Ferry Dr, Decatur, GA 30033-3346 | 2020-04-21 |
| 1902457138 | April Lynette Williams | Physician Assistant | 3669 Riverchase Ter, Decatur, GA 30034-4876 | 2019-09-29 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1124531249 | Carolina Espina | Physician Assistant | 2665 N Decatur Rd Ste 630, Decatur, GA 30033-6147 | 2017-11-10 |
| 1447703731 | Jessica Lin Brewer | Physician Assistant | 2186 Clairmont Rd, Decatur, GA 30033-1937 | 2016-08-03 |
| 1174972459 | Peter Bell | Physician Assistant | 2946 Clifton Springs Rd, Decatur, GA 30034-3820 | 2016-06-08 |
| 1902299597 | Farida Ahmadi | Physician Assistant | 200 E Ponce De Leon Ave Ste 110, Decatur, GA 30030-3467 | 2015-03-06 |
| 1730431313 | Daniel Lau | Physician Assistant | 2801 N. Decatur Road Suite 200, Decatur, GA 30033 | 2012-10-08 |
| 1720344302 | Kanwal Kapadia Lalani | Physician Assistant | 2665 N Decatur Rd Ste 430, Decatur, GA 30033-6145 | 2012-04-08 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.