Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mark Edward Boulden Jr., ATC

Athletic Trainer in Georgetown, SC · enumerated 2016.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053764977

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Registry record

Entity type Individual (Type 1)

Name Mark Edward Boulden Jr.

Credential ATC

Sex Male

Practice address 2185 N Fraser St, Georgetown, SC, 29440

Phone (843) 527-1800

Fax (843) 527-6528

Enumeration date Jul 15, 2016

Last updated in NPPES Jul 15, 2016

Taxonomy & licenses

2255A2300X Athletic Trainer Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 1667 (SC) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Mark Boulden?

Mark Boulden is registered in NPPES with the primary taxonomy of Athletic Trainer. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-07-15.