David R Bolick, MD

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

33101 Issued in AZ

Practice address

858 S Auto Mall Dr Ste 102
American Fork, UT 84003-2983

Phone

(801) 899-3828

Fax

(801) 855-7548

NPI assigned

Jan 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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.

• Ability Diagnostics, LLC

  • Clinical Medical Laboratory
  • American Fork, UT
  • NPI 1871037879
  NPD (past)

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1467431080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "858 S AUTO MALL DR STE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032983",
            "telephone_number": "801-899-3828",
            "fax_number": "801-855-7548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "858 S AUTO MALL DR STE 102",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840032983",
            "telephone_number": "801-899-3828",
            "fax_number": "801-855-7548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLICK",
        "first_name": "DAVID",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "AZ",
            "license": "33101",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "AZ",
            "license": "33101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805003300",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Blood, D.P.T.
• Bloom Mental Wellness PLLC
• Nicolas Gabriel Bobo
• Jeana F Bodine, CCC-A, AAA
• Savanna Bohrer
• Bryton Stephen Bolton, CRNA
• Kayleen Bond
• Katie Borski
• Madelynn Boston
• Kendall Bowen

• Anatomic Pathology Physician in American Fork, UT
• Providers in American Fork, UT by specialty
• Anatomic Pathology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.