Mr Brad Boylan, ATC, PT is a
Specialist/technologist - Athletic Trainer based in Albany, Oregon. Mr Brad Boylan is licensed to practice in Oregon (license number AT-AT-183301) and his current practice location is
3705 Columbus St Se, Albany, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 967-4522.
NPI number for Mr Brad Boylan is 1114041381 and his current mailing address is 1315 Vine St Sw, Albany, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114041381.
Healthcare Provider's Profile
Full Name | Mr Brad Boylan |
---|
Gender | Male |
---|
Speciality | Specialist/technologist - Athletic Trainer |
---|
Location | 3705 Columbus St Se, Albany, Oregon |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114041381
- Provider Enumeration Date: 03/16/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Brad Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114041381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 2491 (Oregon) | Primary |
2255A2300X | Specialist/technologist - Athletic Trainer | AT-AT-183301 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Brad Boylan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Brad Boylan, ATC, PT 1315 Vine St Sw, Albany, OR 97321-2545 Ph: () - | Mr Brad Boylan, ATC, PT 3705 Columbus St Se, Albany, OR 97322-6182 Ph: (541) 967-4522 |
Reviews and Comments