| Doctor Name: | DR. BRIAN ADAM BOYD |
| NPI Number: | 1952506313 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 24746 |
| Business Practice Address: | 300 Highway 361 Bldg 2516 Crane, IN - 475224000 |
| Business Phone Number: | 8128544315 |
| Business Fax Number: | 8128541339 |
| Mailing Address: | 300 Highway 361, Bldg 2516 CRANE |
| State: | IN |
| Postal Code: | 475224000 |
| Phone Number: | 8128544315 |
| Fax Number: | 8128541339 |
| NPI Enumeration Date: | 06/17/2007 |
| NPI Last Update Date: | 08/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 24746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |