Individual
DR. BRIAN JOSEPH BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
128 SPEEDWAY DR, MOORESVILLE, NC 28117-6879
(704) 768-1013
(704) 264-0711
Mailing address
PO BOX 69, LOWELL, NC 28098-0069
(704) 241-0889
(704) 864-2125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8975
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
078V2
BLUE CROSS BLUE SHIELD
NC
01
—
3484600
AETNA HMO
NC
05
—
7211587
—
NC
01
—
7559538
AETNA PPO
NC
01
—
D3291
MEDCOST
NC
Enumeration date
07/27/2005
Last updated
10/08/2012
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