DR. JOEL C BOLEN (NPI# 1063576130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063576130 |
| Entity Type | Individual |
| Full Name | DR. JOEL C BOLEN |
| Credential | MD |
| Practice Address |
1230 Carmichael Way Montgomery AL 36106-3671 |
| Practice Telephone | 3342777665 |
| Practice Fax Number | 3342777142 |
| Mailing Telephone | 3372777665 |
| Mailing Fax Number | 3342777142 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2016-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
20157 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000036956 | 05 | |
| AL | BCBSAL | 51036956 | 01 |
| AL | BLUE CROSS | 51021380 | 01 |
| Street Address |
1230 CARMICHAEL WAY |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-3671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407155369 | Courtnye Simmons | Nurse Practitioner | 1230 Carmichael Way, Montgomery, AL 36106-3671 | 2011-03-17 |
| 1679637912 | Geriatric Associates of Montgomery, PC | Family Medicine | 1230 Carmichael Way, Montgomery, AL 36106-3671 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932218872 | Silas Olaitan Gbenle | Internal Medicine | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427411347 | Calvin L. Reid Geriatric Services, LLC | Internal Medicine | 636 Westwood Rd, Dothan, AL 36303-2928 | 2016-03-29 |
| 1821406927 | Center for Aging Inc | Internal Medicine | 909 Franklin St Se Ste A, Huntsville, AL 35801-4334 | 2014-08-01 |
| 1649687179 | Tuscaloosa Geriatrics, P.C. | Internal Medicine | 4000 Carousel Cir, Tuscaloosa, AL 35406-2997 | 2014-07-16 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1952415994 | J Walden Retan Md PC | Internal Medicine | 3105 Warrington Road, Mountain Brook, AL 35223-2721 | 2006-08-18 |
| 1669494597 | Alabama Geriatric Specialists Inc. | Internal Medicine | 1 Lakeshore Dr., Ste. 200, Birmingham, AL 35209 | 2006-07-23 |
| 1073558813 | Carol A Griffin | Internal Medicine | 933 19th St S, Room 201, Birmingham, AL 35205-3703 | 2006-06-17 |
| 1639129430 | Malavika Kirikumar Shah | Internal Medicine | 4350 Cleveland Avenue, Walnut Grove, AL 35990 | 2006-05-11 |
| 1346733821 | Franklin Primary Health Center, Inc | Internal Medicine | 100 Edwina St, Evergreen, AL 36401-3319 | 2018-06-11 |
| 1194223313 | Sheppard Consulting Services, LLC | Internal Medicine | 1020 Tuscaloosa Ave Sw, Birmingham, AL 35211-1619 | 2018-01-23 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.