Individual provider Active NPI

William Seth Bolling, M.D.

  • Orthopaedic Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1679568539
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
A72573 Issued in CA
Practice address
120 S Spalding Dr
Suite 400
Beverly Hills, CA 90212-1800
Phone
(310) 860-3470
Fax
(310) 659-2724
NPI assigned
Sep 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X A72573 CA Primary

Addresses

Primary practice location

120 S Spalding Dr
Suite 400
Beverly Hills, CA 90212-1800

Mailing address

120 S Spalding Dr
Suite 400
Beverly Hills, CA 90212-1800
Phone (310) 860-3470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20061005000600 CA Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4880690304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 N Robertson Blvd
Suite 301
Beverly Hills, CA 90211-6001
Phone (310) 273-8550

5900 W Olympia Blvd
Olympia Medical Center
Los Angeles, CA 90036-4671
Phone (310) 657-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A72573CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W. Seth Bolling, MD, Inc Orthopaedic Surgery CurrentSince Oct 1, 2008 Accepting new patients

Locations

120 S Spalding Dr
Ste 400
Beverly Hills, CA 90212
Phone (310) 860-3434

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252022400000",
    "number": "1679568539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-860-3470",
            "fax_number": "310-659-2724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S SPALDING DR",
            "address_2": "SUITE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121800",
            "telephone_number": "310-860-3470",
            "fax_number": "310-659-2724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLLING",
        "first_name": "WILLIAM",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-16",
        "last_updated": "2009-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "A72573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.