BRENDAN ALDIE BOARDWINE DO
NPI 1255221396
Student in an Organized Health Care Education/Training Program in Bethlehem, PA
About Brendan Aldie Boardwine Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENDAN ALDIE BOARDWINE DO (NPI 1255221396) is an individual student in an organized health care education/training program in Bethlehem, Pennsylvania and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brendan Aldie Boardwine Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHLEHEM, PA 18015
BETHLEHEM, PA 18015
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brendan Boardwine's NPI number?
The NPI number for Brendan Boardwine is 1255221396. It was assigned to this individual provider in the NPPES registry on July 9, 2025.
Where is Brendan Boardwine located?
Brendan Boardwine practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (866) 785-8537.
What is Brendan Boardwine's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Brendan Boardwine enrolled in Medicare?
Yes. Brendan Boardwine is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Brendan Boardwine was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Brendan Aldie Boardwine, DO · NPI 1255221396
Student in an Organized Health Care Education/Training Program provider in Bethlehem, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 9, 2025.
## Identity
- **NPI:** 1255221396 (Entity type: Individual)
- **Enumerated:** July 9, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 801 OSTRUM ST, Bethlehem, PA 18015-1000
- **Phone:** (866) 785-8537
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1255221396) · Data from the CMS NPPES public registry.