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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISTYAZIA BOLYARD
NPI 1376313726
Physician Assistant in Bridgeport, WV

Active since January 08, 2024
120 PROFESSIONAL PL STE 101, BRIDGEPORT, WV 26330(304) 396-8878 Get Directions Write a Review

NPPES record last updated: October 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mistyazia Bolyard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTYAZIA BOLYARD (NPI 1376313726) is an individual physician assistant in Bridgeport, West Virginia, licensed in West Virginia (3297) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1376313726
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISTYAZIA BOLYARD
Location Address120 PROFESSIONAL PL STE 101Bridgeport, WV 26330-4599
Mailing Address120 Professional Pl Ste 101Bridgeport, WV 26330-4599 · (304) 396-8878
Phone(304) 396-8878
Sole ProprietorNo
Enumeration DateJanuary 8, 2024
Last NPPES UpdateOctober 15, 2026
NPPES CertifiedOctober 15, 2026
✔ NPI 1376313726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 3297
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
120 PROFESSIONAL PL STE 101, Bridgeport, WV 26330
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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.

ASHLEY ERIN FIZER MSW, LGSW
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
JILL NICOLE STRASSER MSN, APRN, FNP-BC
Nurse Practitioner
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 460-5123
MRS. CRYSTAL NICOLE PETTREY LGSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
ROSEMARY MASON LGSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
MRS. SHIRLEY SIMMONS PA-C
Physician Assistant
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
TRACI R BODKINS
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 369-8878
MS. SAMANTHA CLARK LICSW
Social Worker
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495
RONALENE HOLT DELLIGATTI MSW, LGSW
Social Worker (Clinical)
120 PROFESSIONAL PL STE 101
BRIDGEPORT, WV 26330
Harrison County (304) 513-3495

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 Mistyazia Bolyard's NPI number?

The NPI number for Mistyazia Bolyard is 1376313726. It was assigned to this individual provider in the NPPES registry on January 8, 2024.

Where is Mistyazia Bolyard located?

Mistyazia Bolyard practices at 120 Professional Pl Ste 101, Bridgeport, WV 26330. The listed phone number is (304) 396-8878.

What is Mistyazia Bolyard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mistyazia Bolyard was last updated on October 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.