Provider Demographics
NPI:1518952944
Name:BOYD, GARY L (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:L
Last Name:BOYD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2022 BROOKWOOD MEDICAL CTR DR
Mailing Address - Street 2:SUITE 414
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6808
Mailing Address - Country:US
Mailing Address - Phone:205-877-2884
Mailing Address - Fax:205-877-2794
Practice Address - Street 1:2022 BROOKWOOD MEDICAL CTR DR
Practice Address - Street 2:SUITE 414
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6808
Practice Address - Country:US
Practice Address - Phone:205-877-2884
Practice Address - Fax:205-877-2794
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2015-05-15
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Provider Licenses
StateLicense IDTaxonomies
AL14222207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51503290Medicare PIN
ALC73074Medicare UPIN