Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417024670 Individual Practitioner Male Practitioner

Paul A Boland , CPO

Specialist • Warner Robins, GA

Professional Overview & Biography Verified Profile Summary

Paul Boland, CPO is a registered healthcare professional specializing in Specialist in Warner Robins, GA. Practice services are available at 110 OSIGIAN BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

110 Osigian Blvd

Warner Robins, GA 310887880

Telephone 4789532922
Fax 4789532927
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Warner Robins, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
10 Specialists

Practicing in Warner Robins, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 000006

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State O&p License
000006 (GA)
Commercial Insurance / Payer ID Abc Cert Prosth & Ortho
CPO 1780 (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1174697015
NPI 1629142781
NPI 1750449971

BOCO, CPED, Certified Orthotist, OPAC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 110 OSIGIAN BLVD, WARNER ROBINS, GA 310887880 (Tel: 4789532922)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1138 LUCKY DEBONAIR DR, MACON, GA 312101212 (Tel: 4789532922)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PAUL BOLAND, CPO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #000006 in GA)

🟢
Initial NPI Registration & Enumeration November 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1417024670
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 30, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1138 Lucky Debonair Dr

Macon, GA 312101212

Phone: 4789532922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.