SHANE BOLINA MD NPI 1003703224

NPI Information

  • NPI: 1003703224
  • Provider Name: SHANE BOLINA, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 551 VETERANS UNITED DR
    COLUMBIA, MO
    ZIP 65201
  • Phone: (573) 884-7733

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NPI Details

Shane Bolina, MD is a family medicine in Columbia, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shane Bolina, MD NPI is 1003703224. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

551 VETERANS UNITED DR
COLUMBIA, MO
ZIP 65201-397
Phone: (573) 884-7733
Fax: (573) 884-7733

The enumeration date for this NPI number is 6/20/2025 and was last updated on 6/20/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine2025022146MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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