NPI 1831839760 · live from the CMS NPI Registry
Ethan Boyd
Orthopaedic Surgery in Mobile, AL. National Provider Identifier 1831839760, active.
NPI record
| NPI | 1831839760 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1601 Center St Ste 3104, Mobile, AL 36604 |
| Practice phone | 251-665-8200 |
| Enumerated | March 30, 2022 |
| Last updated | October 8, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Surgery | 208600000X | LL87746 (SC) |
| Orthopaedic Surgery primary | 207X00000X | L.6193 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.