Jimmy Dewayne Bolton Sr., D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5375 Issued in TX

Practice address

5238 US Highway 281
Marble Falls, TX 78654-5708

Phone

(830) 693-4055

Fax

(830) 693-6277

NPI assigned

Jan 8, 2007

Last updated

Feb 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1437505948
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1629126784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5238 N US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786543844",
            "telephone_number": "830-693-4055",
            "fax_number": "830-693-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5238 US HIGHWAY 281",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545708",
            "telephone_number": "830-693-4055",
            "fax_number": "830-693-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "JIMMY",
        "middle_name": "DEWAYNE",
        "name_suffix": "Sr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Black, AGACNP
• Brooks M Blake, D.O.
• Jennifer M Bliss, M.D.
• Kimberly Michelle Blum, APRN, AGCNS
• Piper Boies-Harris, PT, DPT
• Joan Boughey, C.N.P
• Boulder Creek Ministries
• Kelli Bowman Jordan, D.C.
• Steven Patrick Bowman, M.D.
• Brooke Rockafellow Breedlove, MSN, RN, CPNP-PC

• Chiropractor in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.