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NPI Code Detail

MEDICARE: CHARLES MICHAEL BOYD DPM

MEDICARE: CHARLES MICHAEL BOYD DPM
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
1213E00000XPodiatrist00944MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1H792OTHERMDBLUE CROSS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3E602OTHERMDNATIONAL CAP BLUE

General Provider Information

NPI Number : 1861578445
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLES MICHAEL BOYD DPM
Provider Business Mailing Address
First Line : 1 NORTH MAIN STREET
Second Line :
City : BEL AIR
State : MD
Zip : 21014
Country : US
Telephone Number : 410-803-0788
Fax Number : 410-803-1859
Provider Business Practice Location Address
First Line : 5500 KNOLL NORTH DR STE 440
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2364
Country : US
Telephone Number : 410-730-0970
Fax Number : 410-730-0161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 03/21/2024

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