Mr Anthony Bradley Boland, MD - Surgery in Jackson, MS

Mr Anthony Bradley Boland, MD is a Surgery - Vascular Surgery physician based in Jackson, Mississippi. Mr Anthony Bradley Boland is licensed to practice in Mississippi (license number 20979) and his current practice location is 2500 N State St, Jackson, Mississippi. He can be reached at his office (for appointments etc.) via phone at (601) 984-2680.

NPI number for Mr Anthony Bradley Boland is 1437135373 and his current mailing address is 2500 N State St, Jackson, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437135373.

Contact Information

Mr Anthony Bradley Boland, MD
2500 N State St,
Jackson, MS 39216-4500
(601) 984-2680
(601) 815-4563



Physician's Profile

Full NameMr Anthony Bradley Boland
GenderMale
SpecialitySurgery - Vascular Surgery
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1437135373
  • Provider Enumeration Date: 12/22/2005
  • Last Update Date: 12/03/2014

Medical Identifiers

Medical identifiers for Mr Anthony Bradley Boland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437135373NPI-NPPES
07188733MedicaidMS
100033107OtherTNPHP TENNCARE
4078780OtherAETNA
3153656OtherTNBLUECROSS OF TN
62178953301OtherTNJOHN DEERE HEALTHCARE
0140040322OtherTNCIGNA HMO
3740047OtherTNUNITED HEALTHCARE
00832917BMedicaidGA
009965915MedicaidAL
56812OtherFIRST HEALTH
P01189946OtherMSRAILROAD MEDICARE PTAN
3812941MedicaidTN
8490567MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0129XSurgery - Vascular Surgery MD29549 (Tennessee)Secondary
2086S0129XSurgery - Vascular Surgery 044417 (Georgia)Secondary
2086S0129XSurgery - Vascular Surgery MD00022869 (Washington)Secondary
2086S0129XSurgery - Vascular Surgery 20979 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Anthony Bradley Boland is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Anthony Bradley Boland, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-2680
Mr Anthony Bradley Boland, MD
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-2680

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Surgery Doctors in Jackson, MS

Dr. Wayne Shannon Orr Iii, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5452    Fax: 601-815-3322
Jacob M Folse, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5153    Fax: 601-984-6962
Robert Eugene Schmieg Jr., MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    Fax: 601-926-4978
Dr. Hal Gregory Fiser, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1190 N State St, Suite 502, Jackson, MS 39202
Phone: 601-944-1781    Fax: 601-353-0439
Pierre Edouard De Delva, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, University Of Mississippi Medical Center, Jackson, MS 39216
Phone: 601-984-5170    
Dr. John Magruder Sullivan Iii, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Colton Lott,
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-1292    Fax: 601-984-5110

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