Active NPI
Rene Phillipe Bollier, M.D.
- Family Medicine Physician
- Kansas City, MO
National Provider Identifier
1639174345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R4G13
- Practice address
- 1004 Carondelet Dr Ste 440
Kansas City, MO 64114-4845 - Phone
- (816) 943-7777
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R4G13 | MO | Primary |
Addresses
Primary practice location
1004 Carondelet Dr Ste 440
Kansas City, MO 64114-4845
Mailing address
1004 Carondelet Dr Ste 440
Kansas City, MO 64114-4845
Phone (816) 943-7777
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carondelet Primary Care Network, Inc | Family Medicine | Past | Accepting new patients |
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 and National Provider Directory roles.
-
dba Carondelet Specialty Care Network
- Internal Medicine Physician
- Kansas City, MO
- NPI 1063465359
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638748800000",
"number": "1639174345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR STE 440",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144845",
"telephone_number": "816-943-7777",
"fax_number": "816-943-7788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1004 CARONDELET DR STE 440",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641144845",
"telephone_number": "816-943-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLLIER",
"first_name": "RENE",
"middle_name": "PHILLIPE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R4G13",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.