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

Mr. Boyd Roy Wickizer Jr., MD

Individual provider Emergency Medicine Physician · NPI 1750330353

Mr. Boyd Roy Wickizer Jr., MD is an Emergency Medicine in Petersburg, Virginia. Graduated from University of Arizona College of Medicine in 1975, 51 years ago. Accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
51
Trained at
University of Arizona College of Medicine
Licensed in
VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Medical Park Blvd
Petersburg, VA 23805-9274
Phone: (804) 765-5949
Fax: (804) 765-6250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101047692 (VA)
Surgery Physician Taxonomy 208600000X · Licence 0101047692 (VA)

Record details

NPI number1750330353
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESDecember 23, 2009

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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