Boyer, Bradley Bryan

Boyer, Bradley Bryan is an individual health care provider with primary practice located at 2300 Pleasant Valley Rd , York PA 17402-9627. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Boyer, Bradley Bryan can be contacted via phone (717) 757-3537.

Contact Information

Primary practice address
2300 Pleasant Valley Rd York PA 17402-9627
Fax: (717) 718-9701
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC006540 Pennsylvania

Profile Details

NPI number 1083998231
LBN Legal business name Boyer, Bradley Bryan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Jul 1st, 2024 - about 5 months 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 1083998231 NPPES
Pennsylvania Other 4268108 CIGNA
Pennsylvania Other 003059753 CIGNA
Pennsylvania MEDICAID 102932936 CIGNA
Pennsylvania Other 4860021 CIGNA
Pennsylvania Other P01355056 CIGNA
Pennsylvania Other 50125007 CIGNA

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