Mr Brad Boylan, ATC, PT in Albany, OR - Specialist/Technologist

Mr Brad Boylan, ATC, PT is a Specialist/technologist - Athletic Trainer based in Albany, Oregon. Mr Brad Boylan is licensed to practice in Oregon (license number AT-AT-183301) and his current practice location is 3705 Columbus St Se, Albany, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 967-4522.

NPI number for Mr Brad Boylan is 1114041381 and his current mailing address is 1315 Vine St Sw, Albany, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114041381.

Contact Information

	Mr Brad Boylan, ATC, PT
	3705 Columbus St Se, Albany, OR 97322-6182
	(541) 967-4522
	Not Available

Healthcare Provider's Profile

Full Name	Mr Brad Boylan
Gender	Male
Speciality	Specialist/technologist - Athletic Trainer
Location	3705 Columbus St Se, Albany, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1114041381
Provider Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mr Brad Boylan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114041381	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	2491 (Oregon)	Primary
2255A2300X	Specialist/technologist - Athletic Trainer	AT-AT-183301 (Oregon)	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 Brad Boylan 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 Address	Practice Location Address
Mr Brad Boylan, ATC, PT 1315 Vine St Sw, Albany, OR 97321-2545 Ph: () -	Mr Brad Boylan, ATC, PT 3705 Columbus St Se, Albany, OR 97322-6182 Ph: (541) 967-4522

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Mr Brad Boylan, ATC, PT - in Albany, OR