BRENT BOLYARD (NPI# 1154341568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154341568 |
| Entity Type | Individual |
| Full Name | BRENT BOLYARD |
| Credential | MD |
| Practice Address |
1620 W State Highway Cc Brighton MO 65617-9427 |
| Practice Telephone | 3306631583 |
| Mailing Telephone | 3306631583 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2017-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
E-4507 | AR | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
E-4507 | AR | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
E-4507 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 158495001 | 05 |
| Street Address |
1620 W STATE HIGHWAY CC |
| City | BRIGHTON |
| State | MO |
| Zip Code | 65617-9427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528426749 | Gail Lee Sanchez | Counselor | 5586 S 154th Rd, Brighton, MO 65617 | 2016-02-02 |
| 1275966400 | Ronald Delos Bauder Jr. | Social Worker | 5549 Highway K Old Highway 13, Good Samaritan Boys Ranch, Brighton, MO 65617 | 2013-08-12 |
| 1467750877 | Joel R Stewart | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2011-03-09 |
| 1871147470 | Sue Ane Robinson | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2019-07-31 |
| 1306490909 | Jenna Engler | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2019-07-31 |
| 1306249016 | James Lowery | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2014-10-08 |
| 1427302108 | Nicole Pingel | Counselor | 5549 Highway K, Brighton, MO 65617-7256 | 2012-11-02 |
| 1841543188 | Alissa Cara Jecklin | Social Worker | 5549 Highway K, Brighton, MO 65617-7256 | 2012-10-24 |
| 1003195462 | Leslie A Sawyer | Social Worker | 5549 Highway K, Brighton, MO 65617-7256 | 2011-08-16 |
| 1801965512 | Matthew Joseph Moncado | Counselor | 5549 N Highway 13, Brighton, MO 65617-8112 | 2006-11-07 |
| Find all providers in zip 65617 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487890323 | Huda Yahya Alyahyawi | Psychiatry & Neurology | 736 Cambridge St, Boston, Ma 02135-2907, Caritas St Elizabeth's Medical Center of Boston, Brighton, MA 02135 | 2008-12-24 |
| 1538359138 | Janet Ei-hua Shu | Psychiatry & Neurology | 1872 Commonwealth Ave, Apt. 6, Brighton, MA 02135-6016 | 2007-07-30 |
| 1134258585 | David Edward Creasey | Psychiatry & Neurology | 41 S Crescent Circuit, Brighton, MA 02135-3045 | 2007-03-03 |
| 1720181175 | Denise Lynn Handelsman | Psychiatry & Neurology | 780 W Grand River Ave, Brighton Psychiatric Consultants, Pllc, Brighton, MI 48116-2392 | 2006-09-07 |
| 1346354222 | Michael Henry | Psychiatry & Neurology | 736 Cambridge St # Qn-3p, Brighton, MA 02135-2907 | 2006-08-18 |
| 1215948625 | Warnie L Webster | Psychiatry & Neurology | 30 Warren St., Franciscan Hospital for Children, Brighton, MA 02135-3602 | 2006-08-10 |
| 1770599367 | Jennifer Meuse | Psychiatry & Neurology | St. Elizabeth's Medical Center, 736 Cambridge St/quinn 3, Brighton, MA 02135 | 2006-08-01 |
| 1225056617 | Kenneth Ernest Pitts | Psychiatry & Neurology | 4522 Oak Pointe Dr, Brighton, MI 48116-9184 | 2006-07-17 |
| 1467491456 | Martha H Mcfadden | Psychiatry & Neurology | 1853 Commonwealth Ave, Brighton, MA 02135-5498 | 2006-06-05 |
| 1003433442 | Monika Batra | Psychiatry & Neurology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-01 |
| Find all providers in BRIGHTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.