MEDICARE: DR. ZACHARY BOYD 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	2085B0100X	Body Imaging Physician	2013027436	MO
2	174400000X	Specialist	2013027436	MO
3	2085R0202X	Diagnostic Radiology Physician	2013027436	MO

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	323A00003	OTHER	MO	MEDICARE PTAN

General Provider Information

NPI Number	:	1497998967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZACHARY BOYD M.D.

Provider Business Mailing Address
First Line	:	1739 E 33RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4423
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1739 E 33RD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4423
Country	:	US
Telephone Number	:	844-835-3723
Fax Number	:

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

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	06/09/2026

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