Alan Randal Bollinger, DO
Individual provider Active NPI Addiction Medicine (Family Medicine) Physician · Des Moines, IA
NPI 1295830115 · NPPES record last updated May 31, 2018
Key facts
- NPI
- 1295830115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction Medicine (Family Medicine) Physician 207QA0401X
- License
- DO-02348 (IA)
- Practice address
- 3509 E 29TH St
Des Moines, IA 50317 - Phone
- (515) 248-1600
- Fax
- (515) 248-1610
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Primary Health Care Inc
Practice addresses (Care Compare)
1200 University Ave
Suite 120
Des Moines, IA 50314-2355
Phone (515) 248-1500
7555 Hickman Rd
Urbandale, IA 50322-4620
Phone (515) 225-7201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090108000299 | IA | Practitioner - Family Practice |
8426111048 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02348 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Health Care, Inc. | Current |
Accepting new patients | |
| Primary Health Care, Inc. | Current |
Accepting new patients |
Locations
3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600
1200 University Ave
Ste 200
Des Moines, IA 50314
Phone (515) 248-1447
2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400
Interoperability endpoints
- abollinger638330@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | DO-02348 | IA | Yes |
Addresses
Primary practice location
3509 E 29TH St
Des Moines, IA 50317
Mailing address
1200 University Ave
Ste 200
Des Moines, IA 50314-2355
Phone (515) 248-1447
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295830115 | Other | IA | MEDICARE PTAN IB3072001 |
| 0421628 | Medicaid | IA |
Other providers in Des Moines, IA
- Samantha Marie Boisen
- Sandhya Bolar
- Dino Bolic
- Colton Bolinger
- Kristin R Bolinger
- John Matthew Boltz
- Brenna Bomkamp
- Kailee Bonebrake
- Samantha Bonin
- Kourtney Bonk
All providers in Des Moines, IA · Addiction Medicine (Family Medicine) Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.