DR. BRYAN BOYER (NPI# 1982691762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982691762 |
| Entity Type | Individual |
| Full Name | DR. BRYAN BOYER |
| Credential | M.D. |
| Practice Address |
100 Navarre Pl Ste 4440 South Bend IN 46601-1171 |
| Mailing Address |
710 N Niles Ave South Bend IN 46617-1924 |
| Practice Telephone | 5746475300 |
| Practice Fax Number | 5746475305 |
| Mailing Telephone | 5746471610 |
| Mailing Fax Number | 5746471825 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2019-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 01055773A | IN | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
01055773A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200393220 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962680512 | Bryan S Boyer | Nurse Anesthetist, Certified Registered | 1861 Powder Mill Rd, York, PA 17402-4723 | 2008-02-06 |
| Street Address |
100 NAVARRE PL STE 4440 |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-1171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412085 | Katelyn J Yoder | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2020-06-23 |
| 1649736604 | Meghan M. Hart | Physician Assistant | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2019-02-14 |
| 1700303070 | Bethanie L Wrobleski | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-08-27 |
| 1225551591 | Melissa Demetriou | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-07-19 |
| 1285164285 | Allison Linea Hartman | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2017-06-13 |
| 1588014914 | Jeanna Geddes | Nurse Practitioner | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2016-06-16 |
| 1093000366 | Gregg M Ebersole | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2011-06-15 |
| 1407014442 | Joel M Post | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2008-05-27 |
| 1134399025 | Charisse D Johnson | Pediatrics | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2008-03-06 |
| 1912112384 | Christiaan Nikolaje Mamczak | Orthopaedic Surgery | 100 Navarre Pl Ste 4440, South Bend, IN 46601-1171 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821624461 | Michelle Nicole Hokl | Orthopaedic Surgery | 1801 N Senate Blvd Ste 535, Indianapolis, IN 46202-1204 | 2020-03-16 |
| 1265820914 | Adam Cota | Orthopaedic Surgery | 8450 Northwest Blvd, Indianapolis, IN 46278-1381 | 2015-01-05 |
| 1922308691 | John Anthony Mansour Jr. | Orthopaedic Surgery | 3736 S 4th St, Terre Haute, IN 47802-5507 | 2010-10-28 |
| 1972820421 | Roman M Natoli | Orthopaedic Surgery | 1801 N Senate Blvd, 535, Indianapolis, IN 46202-1228 | 2010-04-23 |
| 1770785032 | Patrick Joseph Laboe | Orthopaedic Surgery | 5255 E Stop 11 Rd, Indianapolis, IN 46237-6340 | 2007-05-31 |
| 1821103060 | Anthony T Sorkin | Orthopaedic Surgery | 1801 N Senate Blvd, Ste 536, Indianapolis, IN 46202-1228 | 2006-08-20 |
| City | SOUTH BEND |
| Zip Code | 46601 |
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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.