Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY D BOYLE, PA
ActivePhysician Assistant · DECATUR, IN
Registration Details
- NPI Number
- 1982684965
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.268878449673 yrs)
- Last Updated
- Jul 8, 2007
- License
-
10000289A (IN)
Practice Information
- Address
-
955 HIGH STSTE 2DECATUR, IN, 467332326Browse IN providers · Browse ZIP 46733
- Phone
- 2607248700
- Fax
- 2607283821
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DECATUR, IN
| Name | Credential | NPI |
|---|---|---|
| KELSEY DODD KANNOOKADEN | PA-C | 1194313254 |
| EDWARD RESENDEZ | PA | 1255904983 |
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.