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Individual
DR. BRADLEY BRYAN BOYER
Active
Individual
DR. BRADLEY BRYAN BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006540
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003059753
HIGHMARK BC BS
PA
05
—
102932936
—
PA
01
—
4268108
CIGNA
PA
01
—
4860021
AETNA
PA
01
—
50125007
CAPITAL BLUE CROSS
PA
01
—
P01355056
PALMETTO / RAILROAD MEDICARE
PA
Enumeration date
10/06/2011
Last updated
06/09/2025
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