Boyd, Jonathan Bradford

Boyd, Jonathan Bradford is an individual health care provider with primary practice located at 701 Grove Rd Fl 6 , Greenville SC 29605-4210. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Boyd, Jonathan Bradford can be contacted via phone (864) 455-7146.

Contact Information

Primary practice address
701 Grove Rd Fl 6 Greenville SC 29605-4210
Phone: (864) 455-7146
Fax: (864) 455-5380
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 59156 Tennessee
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 59156 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 88103 South Carolina

Profile Details

NPI number 1649624420
LBN Legal business name Boyd, Jonathan Bradford
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2016
Last updated Aug 16th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649624420 NPPES
South Carolina MEDICAID PENDING

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