Boland Prosthetic & Orthotic Center LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

300760100 Issued in GA

Legal business name

BOLAND PROSTHETIC & ORTHOTIC CENTER LLC

Practice address

1673 Wesleyan Dr
Macon, GA 31210-1031

Phone

(478) 996-5191

Fax

(478) 953-2927

NPI assigned

Apr 10, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul A Boland, CPO

Title

Owner

Phone

(478) 953-2922

Specialties & licenses 1

Addresses

Other names 1

• Boland Prosthetic & Orthotic Center LLC Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636588800000",
    "number": "1013440718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 WESLEYAN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101031",
            "telephone_number": "478-996-5191",
            "fax_number": "478-953-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 WESLEYAN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312101031",
            "telephone_number": "478-996-5191",
            "fax_number": "478-953-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLAND PROSTHETIC & ORTHOTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A",
        "authorized_official_last_name": "BOLAND",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-953-2922",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "300760100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boland Prosthetic & Orthotic Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Boland Prosthetic & Orthotic Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Davis Bobbitt
• Joseph F Bodin III, PA-AA
• Karen Boesch- Leverett
• Rebecca Bogle
• Bola Sogade, MD, LLC
• Christian Joseph Bolea, M.D.
• Charles Boling, PA
• Linda Baughman Bolt, OTR/L, CHT
• Margaret C. Boltja, M.D.
• Catherine J Bomberger, MD

• Prosthetic/Orthotic Supplier in Macon, GA
• Providers in Macon, GA by specialty
• Prosthetic/Orthotic Supplier in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.