Marcus Anthony Bolden

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

11324 Wagon PL
El Paso, TX 79934-3373

Phone

(501) 716-7960

NPI assigned

Jul 26, 2018

Last updated

Jul 26, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1316424955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11324 WAGON PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343373",
            "telephone_number": "501-716-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11324 WAGON PL",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799343373",
            "telephone_number": "501-716-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDEN",
        "first_name": "MARCUS",
        "middle_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Boice, NP
• Atenas Bojorquez-Rios
• Vanessa Bolado
• Olushola Bolarinwa
• Korynn L Bolden, RDH
• Katie Nanette Boles
• Corina Bollainygoytia, RN
• Ronald Lee Bollinger, LCDC
• Bhaswanth Bollu, M.D.
• Darius A. Boman, MD

• Behavior Technician in El Paso, TX
• Providers in El Paso, TX by specialty
• Behavior Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.