DR. BRETT BOLTON (NPI# 1942529730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942529730 |
| Entity Type | Individual |
| Full Name | DR. BRETT BOLTON |
| Credential | D,O |
| Practice Address |
2715 E Oakland Park Blvd Suite 200 Fort Lauderdale FL 33306-1659 |
| Mailing Address |
Po Box 11664 Fort Lauderdale FL 33339-1664 |
| Practice Telephone | 9545675868 |
| Practice Fax Number | 9545675869 |
| Mailing Telephone | 9545675868 |
| Mailing Fax Number | 9545675869 |
| Enumeration Date | 2010-05-19 |
| Last Update Date | 2010-05-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | DO 1256 | TN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 0S0007493 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649272543 | Brett D Bolton | Chiropractor | 10777 Main St, Suite A, Bellevue, WA 98004-5971 | 2005-08-11 |
| Street Address |
2715 E OAKLAND PARK BLVD SUITE 200 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33306-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568927705 | Peaceful Prana Therapy, LLC | Social Worker | 2300 E Oakland Pk Blvd, Ste 206, Plantation, FL 33306 | 2019-02-01 |
| 1215429717 | Pain Treatment Specialists | Pain Medicine | 2601 E Oakland Park Blvd Ste 200, Fort Lauderdale, FL 33306 | 2018-05-31 |
| 1740779735 | Complete Family Dentistry, LLC | Dentist | 3015 Bayview Drive Suite B, Fort Lauderdale, FL 33306 | 2018-05-04 |
| 1104281856 | Raiselle Gittler | Massage Therapist | 4640 E Federal Hwy, Suite F, Fort Lauderdale, FL 33306 | 2015-12-23 |
| 1952703308 | Joseph Carlo Pastura | Dentist | 3051 N. Federal Hwy, Ft. Lauderdale, FL 33306 | 2014-09-17 |
| 1679857247 | Massage Therapy By Rina Richard Inc. | Massage Therapist | 2881 East Oakland Park Blvd. Ste # 113, Fort Lauderdale, FL 33306 | 2011-09-30 |
| 1467757393 | Paramount Wellness Group LLC | Chiropractor | 2745 E. Oakland Park Blvd., Fort Lauderdale, FL 33306 | 2011-01-25 |
| 1679800684 | Marcia Lynne Sills | Internal Medicine | 2741 Ne 34th Street, Fort Lauderdale, FL 33306 | 2009-11-11 |
| 1518133479 | Christopher M Schloss | Dentist | 2916 Bayview Drive, Fort Lauderdale, FL 33306 | 2008-05-01 |
| 1497926687 | Glenn Ross Caddy | Psychologist | 3101 North Federal Highway, Suite 301, Ft. Lauderdale, FL 33306 | 2008-03-17 |
| Find all providers in zip 33306 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702812 | Regenerate Wellness Inc | General Practice | 2631 E Oakland Park Blvd Ste 110, Fort Lauderdale, FL 33306-1607 | 2020-05-22 |
| 1871008359 | Benefit One Plus Corp | General Practice | 100 Se 3rd Ave Fl 10th, Fort Lauderdale, FL 33394-0002 | 2017-12-06 |
| 1447762919 | Daniel Desta Bekele | General Practice | 1001 W Las Olas Blvd Apt 4, Fort Lauderdale, FL 33312 | 2017-10-24 |
| 1114319902 | Dorilas Foundation Corporation | General Practice | 3510 Nw 8th St, Fort Lauderdale, FL 33311-6416 | 2015-03-03 |
| 1235457482 | David Arnold Tillman | General Practice | 1585 S Ocean Ln, #280, Fort Lauderdale, FL 33316-3335 | 2010-05-12 |
| 1801098926 | Maria Belen Game | General Practice | 2500 E Commercial Blvd Ste D, Fort Lauderdale, FL 33308 | 2007-06-01 |
| 1053415299 | James Thomas Collins | General Practice | 5740 Ne 21st Rd, Fort Lauderdale, FL 33308-2566 | 2006-09-08 |
| 1548897689 | Broroc, LLC | General Practice | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-26 |
| 1093342594 | Wesley Paul | General Practice | 1809 Ne 59th St, Fort Lauderdale, FL 33308-2443 | 2020-03-25 |
| 1215588413 | The Family Place Fl, Professional Group, LLC | General Practice | 2151 E Commercial Blvd Ste 301, Fort Lauderdale, FL 33308-3807 | 2019-09-28 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33306 |
Please comment or provide details below to improve the information on DR. BRETT BOLTON.
| 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.