Healthcare Provider Details

I. General information

NPI: 1336209709
Provider Name (Legal Business Name): BRIANA BOYD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

428 MEADOWCREST PARK
LEXINGTON KY
40515-4814
US

IV. Provider business mailing address

428 MEADOWCREST PARK
LEXINGTON KY
40515-4814
US

V. Phone/Fax

Practice location:
  • Phone: 502-588-7977
  • Fax:
Mailing address:
  • Phone: 502-588-7977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number40671
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberTP832
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: