MEDICARE: DR. TEDRIC DALE BOYSE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician		NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225090772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TEDRIC DALE BOYSE M.D.

Provider Business Mailing Address
First Line	:	114 WIND CHIME CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6433
Country	:	US
Telephone Number	:	919-847-6431
Fax Number	:	919-847-7005

Provider Business Practice Location Address
First Line	:	114 WIND CHIME CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6433
Country	:	US
Telephone Number	:	919-847-6431
Fax Number	:	919-847-7005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1861350191 — MORGAN PARISH
Practice Location Address:

120 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-424-7975
Practice Fax: 919-999-3522

1629038229 — CAPITAL RADIOLOGY ASSOCIATES, P.A.
Practice Location Address:

114 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-847-6431
Practice Fax: 919-847-7005

1164478806 — KATHRYN WALSH HONEYMAN L.C.S.W.
Practice Location Address:

146 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-602-8433
Practice Fax: 919-861-8893

1053424341 — MS. MELISSA DALE DAVOLI L.C.S.W.
Practice Location Address:

146 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-389-1878
Practice Fax:

1770640203 — EASTER SEALS UCP ASAP INC
Practice Location Address:

134 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-784-9182
Practice Fax: 919-784-9184

1932266467 — EASTER SEALS UCP ASAP INC
Practice Location Address:

134 WIND CHIME CT
RALEIGH, NC
27615-6433

Practice Phone: 919-784-9182
Practice Fax: 919-784-9184

Directions to “ DR. TEDRIC DALE BOYSE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.