Organization Active NPI

Bolcer Podiatry, Inc.

  • Podiatrist
  • Elk River, MN
National Provider Identifier
1568635969
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
614 Issued in MN
Legal business name
BOLCER PODIATRY, INC.
Practice address
19230 Evans St NW Ste 109
Elk River, MN 55330-1079
Phone
(763) 441-6220
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Dr. Sarah H Bolcer
Title
Owner
Phone
(763) 441-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 614 MN Primary

Addresses

Primary practice location

19230 Evans St NW Ste 109
Elk River, MN 55330-1079

Mailing address

19230 Evans St NW Ste 109
Elk River, MN 55330-1079
Phone (763) 441-6220

Other practice location 1

325 Main St NW
Elk River, MN 55330-1531
Phone (763) 441-6220

National Provider Directory

National Provider Directory

Locations

325 Main St NW
Elk River, MN 55330
Phone (763) 441-6220

19230 Evans St NW
Ste 109
Elk River, MN 55330
Phone (763) 441-6220

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568635969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19230 EVANS ST NW STE 109",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301079",
            "telephone_number": "763-441-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19230 EVANS ST NW STE 109",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301079",
            "telephone_number": "763-441-6220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Main St NW",
            "address_purpose": "LOCATION",
            "city": "Elk River",
            "state": "MN",
            "postal_code": "553301531",
            "country_code": "US",
            "telephone_number": "763-441-6220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BOLCER PODIATRY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BOLCER",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-441-6220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.