Provider Demographics
NPI:1417025933
Name:BOYLE, JAMES EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:EDWARD
Last Name:BOYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 SOMERVILLE RD SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-3242
Mailing Address - Country:US
Mailing Address - Phone:256-353-4665
Mailing Address - Fax:256-353-8982
Practice Address - Street 1:1101 SOMERVILLE RD SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3242
Practice Address - Country:US
Practice Address - Phone:256-353-4665
Practice Address - Fax:256-353-8982
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22105207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529804170Medicaid
AL510-79820OtherBLUE CROSS & BLUE SHIELD
AL529804170Medicaid
F37446Medicare UPIN