Individual provider Active NPI

Cory Bolinger

  • Pulmonary Disease Physician
  • Tyler, TX
National Provider Identifier
1467863704
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
W3232 Issued in TX
Practice address
619 S Fleishel Ave Ste 100
Tyler, TX 75701-2004
Phone
(903) 606-2830
NPI assigned
May 8, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD469695 PA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD469695 PA
Pulmonary Disease Physician 207RP1001X W3232 TX Primary

Addresses

Primary practice location

619 S Fleishel Ave Ste 100
Tyler, TX 75701-2004

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 324-6400

Other practice location 1

1050 Bower Hill Road
Suite 204
Pittsburgh, PA 15243-1524
Phone (412) 942-5728

Other practice location 2

2150 Pennsylvania Ave NW
Washington, DC 20037-3201
Phone (202) 741-3000

Other practice location 3

1350 Locust Street
Suite G-104
Pittsburgh, PA 15219-4738
Phone (412) 323-5549

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200717000283 PA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0648576348 Reassigns benefits to 2 organizations
I20260618003677 TX Practitioner - Pulmonary Disease 0648576348

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

1050 Bower Hill Rd
Pittsburgh, PA 15243-1870

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD469695PAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc Critical Care Medicine CurrentSince Jul 6, 2020 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
St Clair Medical Services CurrentSince Jul 6, 2020 Accepting new patients
St Clair Medical Services Inc CurrentSince Jul 6, 2020 Accepting new patients
St Clair Professional Services Inc CurrentSince Jul 6, 2020 Accepting new patients
St Clair Professional Services Inc Critical Care Medicine Past Accepting new patients
St Clair Medical Services Inc Past Accepting new patients

Locations

1350 Locust St
Ste G104
Pittsburgh, PA 15219
Phone (412) 232-5549

1050 Bower Hill Rd
Ste 306
Pittsburgh, PA 15243
Phone (412) 572-6168

1050 Bower Hill Rd
Ste 204
Pittsburgh, PA 15243
Phone (412) 572-6129

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1467863704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-324-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 S FLEISHEL AVE STE 100",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012004",
            "telephone_number": "903-606-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Bower Hill Road",
            "address_2": "Suite 204",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152431524",
            "country_code": "US",
            "telephone_number": "412-942-5728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 Pennsylvania Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200373201",
            "country_code": "US",
            "telephone_number": "202-741-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Locust Street",
            "address_2": "Suite G-104",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152194738",
            "country_code": "US",
            "telephone_number": "412-323-5549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLINGER",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-08",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD469695",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD469695",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "W3232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "1050 Bower Hill Road",
            "address_2": "Suite 204",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152431524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.