Individual provider Active NPI

James E Bolland, MD

  • Family Medicine Physician
  • Altoona, PA
National Provider Identifier
1174905475
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT209205 Issued in PA
Practice address
501 Howard Ave
Suite F2
Altoona, PA 16601-4810
Phone
(814) 889-2701
Fax
(814) 889-7864
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT209205 PA Primary

Addresses

Primary practice location

501 Howard Ave
Suite F2
Altoona, PA 16601-4810

Mailing address

501 Howard Ave
Suite F4
Altoona, PA 16601-4810
Phone (814) 889-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, WA, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181130001832 TN Practitioner - Internal Medicine 7911292487 Reassigns benefits to 1 organization
I20220329001634 WA Practitioner - HospitalistPractitioner - Internal Medicine 7911292487 Reassigns benefits to 1 organization
I20260409002762 MT Practitioner - Family Practice 7911292487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Montana P CGroup PAC ID 4486712833, 82 clinicians

Practice addresses (Care Compare)

2000 S Clover Dr
Moses Lake, WA 98837-4417
Phone (509) 765-5606

2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone (406) 728-4100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Grant County Public Hospital District 1 Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Southeastern Physician Services PC CurrentSince Oct 6, 2018 Accepting new patients
Grant County Public Hospital District 1 Family Medicine Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Feb 1, 2022 Accepting new patients

Locations

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

660 S Coolidge St
Moses Lake, WA 98837

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1174905475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "SUITE F4",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "814-889-2020",
            "fax_number": "814-889-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 HOWARD AVE",
            "address_2": "SUITE F2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166014810",
            "telephone_number": "814-889-2701",
            "fax_number": "814-889-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLAND",
        "first_name": "JAMES",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT209205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.