MR. ANTHONY BRADLEY BOLAND M.D.
NPI 1437135373
Surgery - Vascular Surgery in Jackson, MS

Active since December 22, 2005
2500 N STATE ST, JACKSON, MS 39216(601) 984-2680(601) 815-4563 Get Directions Write a Review

NPPES record last updated: December 3, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Anthony Bradley Boland M.d. NPPES

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

MR. ANTHONY BRADLEY BOLAND M.D. (NPI 1437135373) is an individual vascular surgery provider in Jackson, Mississippi, licensed in Mississippi (20979) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1437135373
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMR. ANTHONY BRADLEY BOLANDCredential: M.D.
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-2680 · Fax (601) 815-4563
Fax(601) 815-4563
Sole ProprietorNo
Enumeration DateDecember 22, 2005
Last NPPES UpdateDecember 3, 2014
NPI 1437135373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses Licensed in MS · 20979 Licensed in TN · MD29549 Licensed in GA · 044417 Licensed in WA · MD00022869
Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

2500 N STATE ST, Jackson, MS 39216

Other Identifiers 21

Other100033107TN · Php Tenncare
Other4078780Aetna
OtherP01189946MS · Railroad Medicare Ptan
Medicare ID-Type Unspecified77BBBJTGA
Medicaid00832917BGA
Medicare PING8867601WA
Other62178953301TN · John Deere Healthcare
Medicaid8490567WA
Medicare PIN302I775602MS
Other56812First Health
Medicare ID-Type Unspecified3812941TN
Medicaid3812941TN
Other0140040322TN · Cigna Hmo
Other3153656TN · Bluecross Of Tn
Medicare PIN375421YWZ1MS
Other3740047TN · United Healthcare
Medicare UPINA04109TN
Medicare ID-Type Unspecified330005116GA · Railroad
Medicaid009965915AL
Medicaid07188733MS
Medicare PIN302I773113MS

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.

Ophthalmology
2500 N STATE ST, STE B329
JACKSON, MS 39216
Rehabilitation Unit
2500 N STATE ST
JACKSON, MS 39216
Otolaryngology
2500 N STATE ST, DEPARTMENT OF OTOLARYNGOLOGY
JACKSON, MS 39216
Anesthesiology (Pediatric Anesthesiology)
2500 N STATE ST, DEPT. OF ANESTHESIOLOGY
JACKSON, MS 39216
Psychologist (Clinical)
2500 N STATE ST
JACKSON, MS 39216
Nurse Practitioner
2500 N STATE ST
JACKSON, MS 39216
Neurological Surgery
2500 N STATE ST, N703 NEUROSURGERY DEPARTMENT
JACKSON, MS 39216
Psychiatry & Neurology (Psychiatry)
2500 N STATE ST
JACKSON, MS 39216

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 Anthony Boland's NPI number?

The NPI number for Anthony Boland is 1437135373. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Anthony Boland located?

Anthony Boland practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-2680.

What is Anthony Boland's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

When was this NPI record last updated?

The NPPES record for Anthony Boland was last updated on December 3, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.