- Practice location
- 1400 Pelham Pkwy S, Bronx, NY 10461-1197
- Phone
- 718-696-2583
- Fax
- 718-881-5074
- Last updated
- March 26, 2020
Ryan Bolton is a Surgery based in Bronx, NY. Ryan Bolton practices in Bronx, NY and has the professional credentials of MD. The NPI Number for Ryan Bolton is 1598260200 and holds a License No. 302445 (NY). The current practice location address for Ryan Bolton is 1400 Pelham Pkwy S, Bronx, NY 10461-1197 and can be reached out via phone at 718-696-2583 and via fax at 718-881-5074.
Provider Profile Details
- NPI Number
- 1598260200
- Provider Name
- Ryan Bolton
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1400 Pelham Pkwy S, Bronx, NY 10461-1197
- Phone Number
- 718-696-2583
- Fax Number
- 718-881-5074
- Primary Taxonomy
- Surgery · 208600000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 26, 2018
- Last Update Date
- March 26, 2020
- Certification Date
- March 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 Pelham Pkwy S
Bronx, NY 10461-1197 - City
- Bronx
- State
- New York
- Zip
- 10461-1197
- Phone Number
- 718-696-2583
- Fax Number
- 718-881-5074
Provider Business Mailing Address Details
- Address
- 240 Marlborough St Apt 8
Boston, MA 02116-1735 - City
- Boston
- State
- MA
- Zip
- 02116-1735
- Phone Number
- 937-903-8492
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 302445
- License State (2)
- NY
- Taxonomy (2)
- Surgery · 208600000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ryan Bolton, MD?
The NPI number of Ryan Bolton, MD is 1598260200. It was assigned on March 26, 2018 and is currently active in the NPPES registry.
What is the specialty of Ryan Bolton, MD?
Ryan Bolton, MD is registered under the primary taxonomy Surgery (code 208600000X), licensed in NY under license number 302445.
Where does Ryan Bolton, MD practice?
The practice location is 1400 Pelham Pkwy S, Bronx, NY 10461-1197. The office can be reached at 718-696-2583 (phone) or 718-881-5074 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1598260200 directly on the NPPES registry website.