Mr Brad Boylan, ATC, PT - in Albany, OR

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.

Contact Information

Mr Brad Boylan, ATC, PT
3705 Columbus St Se,
Albany, OR 97322-6182
(541) 967-4522
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMr Brad Boylan
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location3705 Columbus St Se, Albany, Oregon
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1114041381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 2491 (Oregon)Primary
2255A2300XSpecialist/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 AddressPractice 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



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