Ralph Morton Bolman III, MD
Individual provider Active NPI Surgery Physician · Burlington, VT
NPI 1043201510 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1043201510
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 042.0013180 (VT)
- Practice address
- 111 Colchester Ave.
Uvm Medical Center - CT Surgery
Burlington, VT 05401 - Phone
- (802) 847-4044
- Fax
- (802) 847-8158
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 224180 | MA | |
| Surgery Physician | 208600000X | 042.0013180 | VT | Yes |
Addresses
Primary practice location
111 Colchester Ave.
Uvm Medical Center - CT Surgery
Burlington, VT 05401
Mailing address
111 Colchester Ave.
Uvm Medical Center - CT Surgery
Burlington, VT 05401
Phone (802) 847-4044
Other providers in Burlington, VT
- Lydia Jane Bohn
- Chantal Josee Boisvert
- Elizabeth Boland
- Lisa Michele Bolduc-Bissell
- Ariel Boll
- Jacqueline Mood Bolster
- Kristen Bolton
- Karyann Sweet Bombardier
- Nathan Patrick Bombardier
- Nicholas Robert Bonenfant
All providers in Burlington, VT · Surgery Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.