Healthcare Provider Details

I. General information

NPI: 1497998967
Provider Name (Legal Business Name): ZACHARY BOYD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1739 E 33RD ST
BROOKLYN NY
11234-4423
US

IV. Provider business mailing address

1739 E 33RD ST
BROOKLYN NY
11234-4423
US

V. Phone/Fax

Practice location:
  • Phone: 844-835-3723
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number2013027436
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number2013027436
License Number StateMO
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2013027436
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: