Brent Bolyard in Brighton - Geriatric Psychiatry
Brent Bolyard - NPI 1154341568
Brent Bolyard is a Geriatric Psychiatry in Brighton, Missouri. Brent Bolyard practices all healthcare services and medical treatments related to Geriatric Psychiatry. The NPI Number for Brent Bolyard is 1154341568. The last update date is 2017-01-02.
Brent Bolyard's current location address is 1620 W State Highway Cc, Brighton, Missouri. You can contact this provider via phone number 3306631583. The mailing address for Brent Bolyard is 1620 W State Highway Cc, Brighton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Bolyard |
|---|---|
| Address | 1620 W State Highway Cc, Brighton, Missouri |
| Phone Number | 3306631583 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154341568 |
|---|---|
| Provider Enumeration Date | 2006-07-20 |
| Last Updated Date | 2017-01-02 |
Provider Mailing Address Detail
| Address | 1620 W State Highway Cc |
|---|---|
| City | Brighton |
| State | Missouri (MO) |
| Post Code | 656179427 |
| Phone Number | 3306631583 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Psychiatry |
|---|---|
| Taxonomy | 2084P0805X |
| Licence No | E-4507 |
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Definition: Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 158495001 | AR | -- |
Post Comment/ Review Below
What is the Brent Bolyard's unique identification number?
The Brent Bolyard has been assigned the NPI (National Provider Identifier) Number 1154341568 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Brent Bolyard's physical address?
The Brent Bolyard is physically located at 1620 W State Highway Cc, in the city of Brighton, MO, with the postal code 656179427.
What is Brent Bolyard's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent Bolyard's area of specialization is Geriatric Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0805X.
When did the Brent Bolyard receive its 1154341568?
The Brent Bolyard was issued its 1154341568 on 2006-07-20, which is the date when the organization was assigned this unique identifier.
When was the Brent Bolyard's information last updated?
The Brent Bolyard's information was last updated on 2017-01-02.