Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jacob Micah Boydstun, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568805299

Dr. Jacob Micah Boydstun, DO is a Psychiatry in Little Rock, Arkansas. Graduated from University of North Texas Hsc, College of Osteopathic Med in 2013, 13 years ago. Practices with Pure Balance of Nwa PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
13
Trained at
University of North Texas Hsc, College of Osteopathic Med
Licensed in
AR
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4301 W Markham St
Little Rock, AR 72205-7101
Phone: (432) 770-5923
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence E-9954 (AR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (AR)

Record details

NPI number1568805299
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2013
Last updated in NPPESMarch 19, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF NORTH TEXAS HSC, COLLEGE OF OSTEOPATHIC MED
Graduated 2013 (13 years in practice)
Group practice Pure Balance Of Nwa Pllc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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