Mark Boulden, ATC
NPI 1053764977 · Athletic Trainer · Georgetown, SC
Mark Boulden, ATC is a Athletic Trainer provider in Georgetown, SC (NPI 1053764977).
Provider details
- NPI number
- 1053764977
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 1667 (SC)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-07-15
- Last updated
- 2016-07-15
Frequently asked questions
- What is Mark Boulden's NPI number?
- Mark Boulden's National Provider Identifier (NPI) is 1053764977, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Boulden's specialty?
- Mark Boulden is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mark Boulden located?
- Mark Boulden's practice location on file with NPPES is 2185 N Fraser St, Georgetown, SC 29440-6418.
- What is Mark Boulden's phone number?
- The practice phone number listed in the NPPES registry for Mark Boulden is (843) 527-1800.
- Is Mark Boulden's NPI active?
- Yes — Mark Boulden's NPI (1053764977) is active in the NPPES registry as of the last update on 2016-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.