Brian Mitchell Boville in Grand Rapids - Pediatric Critical Care Medicine
Brian Mitchell Boville - NPI 1902863871
Brian Mitchell Boville is a Pediatric Critical Care Medicine in Grand Rapids, Michigan. Brian Mitchell Boville practices all healthcare services and medical treatments related to Pediatric Critical Care Medicine. The NPI Number for Brian Mitchell Boville is 1902863871. The last update date is 2021-02-26.
Brian Mitchell Boville's current location address is 100 Michigan St Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6162670118 and fax number 6162670090. The mailing address for Brian Mitchell Boville is 100 Michigan St Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Mitchell Boville |
|---|---|
| Address | 100 Michigan St Ne, Grand Rapids, Michigan |
| Phone Number | 6162670118 |
| Fax Number | 6162670090 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1902863871 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2021-02-26 |
Provider Mailing Address Detail
| Address | 100 Michigan St Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495032560 |
| Phone Number | 6162670118 |
| Fax Number | 6162670090 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Critical Care Medicine |
|---|---|
| Taxonomy | 2080P0203X |
| Licence No | 4301100059 |
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Definition: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surg |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1902863871 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brian Mitchell Boville by the Centers for Medicare & Medicaid Services (CMS)?
The Brian Mitchell Boville has been assigned the NPI (National Provider Identifier) 1902863871. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Brian Mitchell Boville is geographically located?
The Brian Mitchell Boville is physically situated at the following location: 100 Michigan St Ne, Grand Rapids, MI, 495032560.
What is the area of specialization for Brian Mitchell Boville, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Brian Mitchell Boville is Pediatric Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2080P0203X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902863871 to Brian Mitchell Boville?
The Brian Mitchell Boville received its 1902863871 assignment from the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date was the information regarding Brian Mitchell Boville, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian Mitchell Boville, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-02-26.