ROBERT P BOLLING MD NPI 1477509925

NPI Information

NPI: 1477509925
Provider Name: ROBERT P BOLLING, MD
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

Address:
1035 TEMPLE AVE N
FAYETTE, AL
ZIP 35555
Phone: (205) 748-0158
Get Directions

Robert P Bolling, MD is a plastic and reconstructive surgery surgery in Fayette, AL. The provider is a surgeon who specializes in plastic and reconstructive surgery. Robert P Bolling, MD NPI is 1477509925. 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:

1035 TEMPLE AVE N
FAYETTE, AL
ZIP 35555-923
Phone: (205) 748-0158
Fax: (205) 932-4159

The enumeration date for this NPI number is 5/26/2006 and was last updated on 7/12/2013.

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
1	208600000X	Surgery		24251	ALABAMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	24251	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	144069	OTHER	ALABAMA	MEDICAID-FAIRHOPE
2	9185060	OTHER	ALABAMA	AETNA
3	135596	MEDICAID	ALABAMA
4	143956	OTHER	ALABAMA	MEDICAID- WINFIELD
5	721361759	OTHER	ALABAMA	GREATWEST
6	511-21951	OTHER	ALABAMA	BLUE CROSS
7	262671365001	OTHER	ALABAMA	TRICARE-FAIRHOPE
8	H54283	MEDICARE UPIN	ALABAMA
9	510I240004	MEDICARE PIN	ALABAMA
10	510I240001	MEDICARE PIN	ALABAMA
11	510G700269	MEDICARE UPIN	ALABAMA

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: 5/5/2024

NPI Synchronization or Removal

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