Kelle Danielle Bolden (NPI# 1629098918, PAC ID# 4183770712) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1629098918 |
| PAC ID by PECOS | 4183770712 |
| Professional Enrollment ID | I20180302000475 |
| Full Name | Kelle Danielle Bolden |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Address |
11803 Jefferson Ave Suite 140 Newport News VA 23606-4390 |
| Phone Number | 7576941839 |
| Gender | F |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921903923 |
| Number of Group Practice Members | 848 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490093 | SENTARA CAREPLEX HOSPITAL |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| 490066 | SENTARA WILLIAMSBURG REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 11803 Jefferson Ave, Suite 140, Newport News, VA 23606-4390 | 7576941839 | SENTARA MEDICAL GROUP |
| Organization Legal Name | SENTARA MEDICAL GROUP |
| Physicians | 866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Merrilyn E Nelson | Family Medicine | Sentara Medical Group | 2859 Virginia Beach Blvd, Virginia Beach, VA 23452-7613 |
| Natalia Zapata | Nurse Practitioner | Sentara Medical Group | 303 35th St, Suite 102, Virginia Beach, VA 23451-2868 |
| Meredith Constance Galt | Physician Assistant | Sentara Medical Group | 2017 Pleasure House Rd, Virginia Beach, VA 23455-2709 |
| Christopher Nein | Family Medicine | Sentara Medical Group | 3920 Bridge Rd A, Suffolk, VA 23435-1117 |
| Mary Townsend Adams | Nurse Practitioner | Sentara Medical Group | 3600 Pointe Ctr Ct, Dumfries, VA 22026-2669 |
| Laura Renee Pinkney | Nurse Practitioner | Sentara Medical Group | 3920 A Bridge Rd, Suite 207, Suffolk, VA 23435-1107 |
| Erica L Formato | Family Medicine | Sentara Medical Group | 2760 Godwin Blvd, Suite 100, Suffolk, VA 23434-8501 |
| Diane Renee Weidner | Nurse Practitioner | Sentara Medical Group | 500 Sentara Circle, Suite 202, Williamsburg, VA 23188-5727 |
| Julie Sharlene Jones | Nurse Practitioner | Sentara Medical Group | 633 Battlefield Blcd S, 300 Intracoastal Family Practice, Chesapeake, VA 23322-4800 |
| Martha I Morolari | Nurse Practitioner | Sentara Medical Group | 2025 Glenn Mitchell Dr, Virginia Beach, VA 23456-0178 |
| Street Address |
11803 JEFFERSON AVE SUITE 140 |
| City | NEWPORT NEWS |
| State | VA |
| Zip | 23606-4390 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bijoya Goswami | Internal Medicine | Sentara Medical Group | 11803 Jefferson Ave, Suite 140, Newport News, VA 23606-4390 |
| Ravi G Chhatrala | Internal Medicine | Gastrointestinal and Liver Specialists of Tidewater Pllc | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-4390 |
| Christina E Phillips | Nurse Practitioner | Sentara Medical Group | 11803 Jefferson Ave, Suite 235, Newport News, VA 23606-2565 |
| Beverly M Patterson | Nurse Practitioner | Hampton Roads Otolaryngology Associates Pllc | 11803 Jefferson Ave, Suite 260, Newport News, VA 23606-4390 |
| Michael P Markowitz | Anesthesiology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-4390 |
| Srie Dewi Husen | Family Medicine | Sentara Medical Group | 11803 Jefferson Ave, 100a, Newport News, VA 23606-4390 |
| Glenn S Ross | Internal Medicine | Sentara Medical Group | 11803 Jefferson Ave, Suite 140, Newport News, VA 23606-4390 |
| Roland M. Bercasio | Family Medicine | Sentara Medical Group | 11803 Jefferson Ave, Suite 100, Newport News, VA 23606-4390 |
| Basem Nady Azab | Surgical Oncology | Sentara Medical Group | 11803 Jefferson Ave, Suite 235, Newport News, VA 23606-2565 |
| Dino D Beduya | Gastroenterology | Gastrointestinal and Liver Specialists of Tidewater Pllc | 11803 Jefferson Ave, Suite 230, Newport News, VA 23606-4390 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittney L Kortz | Physical Therapy | Physical Therapy Specialists, P.C. | 704 Thimble Shoals Boulevard, 400a, Newport News, VA 23606 |
| Darren Beilstein | Physical Therapy | Physical Therapy Specialists, P.C. | 704 Thimble Shoals Boulevard, 400a, Newport News, VA 23606 |
| Hemchand Ramberan | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Dawn Marie Brown | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Daniel D Munn | General Surgery | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Timothy Robert Lee | Nurse Practitioner | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Alan D Chap | Critical Care (intensivists) | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Judith C Bengson | Nurse Practitioner | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Ray L James Jr. | Gastroenterology | Riverside Physician Services Inc | 101 Philip Roth St, Suite 5 A, Newport News, VA 23606-1393 |
| Brian J Billings | Colorectal Surgery (proctology) | Riverside Physician Services Inc | 109 Philip Roth St, Newport News, VA 23606-1393 |
| Find all physicians in zip 23606 | |||
| City | NEWPORT NEWS |
| Zip Code | 23606 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | NEWPORT NEWS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kelle Danielle Bolden.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.