Brendan Aldie Boardwine, DO is a
Student In An Organized Health Care Education/training Program physician based in Bethlehem, Pennsylvania. Brendan Aldie Boardwine is licensed to practice in * (Not Available) (license number ) and his current practice location is 801 Ostrum St, Bethlehem, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(866) 785-8537.
NPI number for Brendan Aldie Boardwine is 1255221396 and his current mailing address is 801 Ostrum St, Bethlehem, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255221396.
Physician's Profile
| Full Name | Brendan Aldie Boardwine |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 801 Ostrum St, Bethlehem, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255221396
- Provider Enumeration Date: 07/09/2025
- Last Update Date: 07/09/2025
Medical Identifiers
Medical identifiers for Brendan Aldie Boardwine such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255221396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | OT024796 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brendan Aldie Boardwine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brendan Aldie Boardwine, DO
801 Ostrum St,
Bethlehem, PA 18015-1000
Ph: () - | Brendan Aldie Boardwine, DO
801 Ostrum St,
Bethlehem, PA 18015-1000
Ph: (866) 785-8537 |
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