Bruce Richard Bolling in Winston Salem - Specialist
Bruce Richard Bolling - NPI 1720195571
Bruce Richard Bolling is a Specialist in Winston Salem, North Carolina. Bruce Richard Bolling practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bruce Richard Bolling is 1720195571. The last update date is 2007-07-09.
Bruce Richard Bolling's current location address is 3001 Maplewood Ave, Winston Salem, North Carolina. You can contact this provider via phone number 3366599440 and fax number 3366599845. The mailing address for Bruce Richard Bolling is 3001 Maplewood Ave, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Richard Bolling |
|---|---|
| Address | 3001 Maplewood Ave, Winston Salem, North Carolina |
| Phone Number | 3366599440 |
| Fax Number | 3366599845 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720195571 |
|---|---|
| Provider Enumeration Date | 2006-08-25 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3001 Maplewood Ave |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271034020 |
| Phone Number | 3366599440 |
| Fax Number | 3366599845 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 592 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89127RY | NC | -- | |
| 127RY | NC | BCBS |
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What is the unique 10-digit identifier code issued to Bruce Richard Bolling by the Centers for Medicare & Medicaid Services?
The Bruce Richard Bolling has been assigned the NPI (National Provider Identifier) 1720195571 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bruce Richard Bolling's physical address?
The Bruce Richard Bolling is physically located at 3001 Maplewood Ave, in the city of Winston Salem, NC, with the postal code 271034020.
What is the Bruce Richard Bolling's specialty and taxonomy code?
The Bruce Richard Bolling's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did Bruce Richard Bolling receive its 1720195571 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Richard Bolling was assigned its 1720195571 on 2006-08-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Bruce Richard Bolling's information last updated?
The Bruce Richard Bolling's information was last updated on 2007-07-09.
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