Individual provider · Type 1 NPI

Brian Mitchell Boville, MD

Pediatric Critical Care Medicine Physician · Grand Rapids, MI

NPI number 1902863871 Active

Practice location

100 Michigan St NE
Grand Rapids, MI 49503-2560

Call (616) 267-0118 Map

Fax (616) 267-0090

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine (Anesthesiology) Physician 207LC0200X4301100059 (MI)
Pediatrics Physician 208000000X4301100059 (MI)
Pediatric Critical Care Medicine Physician Primary 2080P0203X4301100059 (MI)

Pediatric Critical Care Medicine Physician: A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates…

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About NPI 1902863871

Brian Mitchell Boville, MD's National Provider Identifier is 1902863871, issued on Apr 26, 2006. The primary taxonomy on file is Pediatric Critical Care Medicine Physician (2080P0203X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 4, 2025.