Active NPI
Mary Frances Bolfing, M.D.
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
National Provider Identifier
1467643668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 107853
- Practice address
- 6215 Humphreys Blvd
Suite 310
Memphis, TN 38120-2367 - Phone
- (901) 747-0291
- Fax
- (901) 747-0299
- NPI assigned
- Aug 5, 2007
- Last updated
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 107853 | MO | Primary |
Addresses
Primary practice location
6215 Humphreys Blvd
Suite 310
Memphis, TN 38120-2367
Mailing address
741 Pebworth LN
Collierville, TN 38017-1394
Phone (901) 850-7892
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107853 | MO | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Memphis Neonatology Associates P.C | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72952
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neonatal-Perinatal Medicine Physician
- Memphis, TN
- NPI 1659485761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186272000000",
"number": "1467643668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "741 PEBWORTH LN",
"city": "COLLIERVILLE",
"state": "TN",
"postal_code": "380171394",
"telephone_number": "901-850-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6215 HUMPHREYS BLVD",
"address_2": "SUITE 310",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202367",
"telephone_number": "901-747-0291",
"fax_number": "901-747-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLFING",
"first_name": "MARY",
"middle_name": "FRANCES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2007-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "MO",
"license": "107853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.