IndividualActive
Brian Boville, M.D.
NPI 1902863871 · Pediatric Critical Care Medicine Physician · Grand Rapids, MI
Provider details
- NPI number
- 1902863871
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301100059 (MI)
Practice location
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Phone: (616) 267-0118
Fax: (616) 267-0090
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2025-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.