Anthony Bradley Boland in Jackson - Vascular Surgery
Anthony Bradley Boland - NPI 1437135373
Anthony Bradley Boland is a Vascular Surgery in Jackson, Mississippi. Anthony Bradley Boland practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Anthony Bradley Boland is 1437135373. The last update date is 2014-12-03.
Anthony Bradley Boland's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6019842680 and fax number 6018154563. The mailing address for Anthony Bradley Boland is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Anthony Bradley Boland |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6019842680 |
| Fax Number | 6018154563 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1437135373 |
|---|---|
| Provider Enumeration Date | 2005-12-22 |
| Last Updated Date | 2014-12-03 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6019842680 |
| Fax Number | 6018154563 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD29549 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7188733 | MS | -- | |
| 100033107 | TN | PHP TENNCARE | |
| 4078780 | AETNA | ||
| 3153656 | TN | BLUECROSS OF TN | |
| 62178953301 | TN | JOHN DEERE HEALTHCARE | |
| 140040322 | TN | CIGNA HMO | |
| 3740047 | TN | UNITED HEALTHCARE | |
| 00832917B | GA | -- | |
| 9965915 | AL | -- | |
| 56812 | FIRST HEALTH |
Post Comment/ Review Below
What is the unique identifier code issued to Anthony Bradley Boland by the Centers for Medicare & Medicaid Services?
The Anthony Bradley Boland has been assigned the NPI (National Provider Identifier) 1437135373. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Anthony Bradley Boland is physically located?
The Anthony Bradley Boland is physically situated at the following address: 2500 N State St, Jackson, MS, 392164500.
What is the Anthony Bradley Boland's specialty and taxonomy code?
The Anthony Bradley Boland's specialty is Vascular Surgery, and the corresponding taxonomy code is 2086S0129X.
When did Anthony Bradley Boland receive its 1437135373 assignment?
The Anthony Bradley Boland was assigned its 1437135373 on 2005-12-22, which is the date when this unique identifier was issued to the organization.
When was the information regarding Anthony Bradley Boland, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Anthony Bradley Boland, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-12-03.