Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT BOLYARD, MD
Active Sole ProprietorBRENT BOLYARD, MD is a Psychiatry healthcare provider located in BRIGHTON, Missouri. NPI 1154341568 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · BRIGHTON, MO
Registration Details
- NPI Number
- 1154341568
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2006 (20.053238249741 yrs)
- Last Updated
- Jan 2, 2017
- Licenses
-
E-4507 (AR)E-4507 (AR)E-4507 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1620 W STATE HIGHWAY CCBRIGHTON, MO, 656179427Browse MO providers · Browse ZIP 65617
- Phone
- 3306631583
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Neurology
- Additional Specialty
- Geriatric Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.