Individual provider Active NPI

Hilary Bollman, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1285047407
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MT206136 Issued in PA
Practice address
3400 Spruce St, 100 Centrex
Hospital of the University of Pennsylvania
Philadelphia, PA 19104
Phone
(215) 662-2725
NPI assigned
Jun 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT206136 PA Primary

Addresses

Primary practice location

3400 Spruce St, 100 Centrex
Hospital of the University of Pennsylvania
Philadelphia, PA 19104

Mailing address

3400 Spruce St, 100 Centrex
Hospital of the University of Pennsylvania
Philadelphia, PA 19104
Phone (215) 662-2725

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170721001968 PA Practitioner - Internal Medicine 9133499296 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT206136PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Temple Physicians Inc. Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Inhospital Physicians Corp Internal Medicine CurrentSince Aug 16, 2017 Accepting new patients

Locations

610 Sentry Pkwy
Bldg 660
Blue Bell, PA 19422

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

2701 DeKalb Pike
Norristown, PA 19401
Phone (215) 335-6000

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1285047407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST, 100 CENTREX",
            "address_2": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST, 100 CENTREX",
            "address_2": "HOSPITAL OF THE UNIVERSITY OF PENNSYLVANIA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-662-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLMAN",
        "first_name": "HILARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-05",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT206136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.