IndividualActive
Bryon Boulton, MD
NPI 1497966782 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Raleigh, NC
Provider details
- NPI number
- 1497966782
- Entity type
- Individual
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012-01328 (NC)
Specialties & taxonomies
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianPrimary208G00000XLicense 2012-01328 (NC)
Allopathic & Osteopathic Physicians
Practice location
3000 New Bern Ave
Raleigh, NC 27610-1231
Phone: (919) 350-7600
Approximate (ZIP-level) locationGet directions
Mailing address
2920 Highwoods Blvd
Raleigh, NC 27604-0010
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2021-02-16
- Certified
- 2021-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.