David Bruce Bollinger, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

674-GA Issued in GA

Practice address

226 Alcovy St
Ste G-1
Monroe, GA 30655-2183

Phone

(770) 207-9043

Fax

(770) 207-9029

NPI assigned

Jun 10, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Children & Adult Therapy Services

  • Rehabilitation Practitioner
  • Monroe, GA
  • NPI 1295738540
  NPD (past)

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1548264161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ALCOVY ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552183",
            "telephone_number": "770-207-9043",
            "fax_number": "770-207-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ALCOVY ST",
            "address_2": "STE G-1",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552183",
            "telephone_number": "770-207-9043",
            "fax_number": "770-207-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLINGER",
        "first_name": "DAVID",
        "middle_name": "BRUCE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "674-GA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000610002B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Board of Commissioners of Walton County
• Board of Health Walton County
• Board of Health Walton County
• Keith Boddie, PT
• Marlynn Newsome Bohannon, LCSW
• Lauren Bonnett, PHARMD
• Stephen Dale Bovenkerk, D.O.
• Sharon Malone Bowden, COTA
• Christina Bradford, FNP-C
• Kate Ann Breiner, NP

• Occupational Therapist in Monroe, GA
• Providers in Monroe, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.