Individual provider Active NPI

Gregory C Bolton Jr., MD

  • Obstetrics & Gynecology Physician
  • Collegeville, PA
National Provider Identifier
1699733782
Registry record updated Aug 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD060356L Issued in PA
Practice address
100 Market Streeet
Suite 300
Collegeville, PA 19426-4927
Phone
(412) 599-1039
Fax
(412) 599-1035
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD060356L PA Primary

Addresses

Primary practice location

100 Market Streeet
Suite 300
Collegeville, PA 19426-4927

Mailing address

PO Box 195
Skippack, PA 19474-0195
Phone (412) 599-1039

Other identifiers 1

IdentifierTypeStateIssuer
001707640MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ, VI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050627000053 PA Practitioner - Obstetrics/Gynecology 7911990650 Reassigns benefits to 2 organizations
I20220618000437 NJ Practitioner - Obstetrics/Gynecology 7911990650 Reassigns benefits to 1 organization
I20241029003803 VI Practitioner - Obstetrics/Gynecology 7911990650 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians
VI Government Hospital and Health Facilities CorpGroup PAC ID 6204722879, 36 clinicians

Practice addresses (Care Compare)

2500 English Creek Ave
BLDG 1000 Suite 1000 Apg Urogynecology Eht
Egg Harbor Township, NJ 08234-5562
Phone (609) 383-6400

9048 Sugar Est
St Thomas, VI 00802-3634
Phone (340) 776-8311

Hospital & facility affiliations

  • Roy Lester Schneider Hospital,the Hospital, St Thomas, VI, CCN 480001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD060356LPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Obstetrics & Gynecology CurrentSince Jun 19, 2022 Accepting new patients
H&H BSQ LLC CurrentSince Jun 1, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Nov 4, 2024 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Jun 19, 2022 Accepting new patients
Main Line Healthcare Obstetrics & Gynecology CurrentSince Aug 1, 2024 Accepting new patients
Obhg Pennsylvania PC Obstetrics & Gynecology CurrentSince Sep 25, 2024 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

2110 New Rd
Ste 2
Linwood, NJ 08221
Phone (609) 407-7765

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

725 Skippack Pike
Ste 220
Blue Bell, PA 19422
Phone (484) 227-9540

830 Old Lancaster Rd
Ste 108
Bryn Mawr, PA 19010
Phone (610) 520-5200

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 E Marshall St
West Chester, PA 19380
Phone (610) 431-5000

560 Van Reed Rd
Ste 203
Wyomissing, PA 19610
Phone (484) 516-2937

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Interoperability endpoints

  • Direct secure messaging: gregory.bolton.1@18568.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1699733782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 195",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740195",
            "telephone_number": "412-599-1039",
            "fax_number": "412-599-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MARKET STREEET",
            "address_2": "SUITE 300",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264927",
            "telephone_number": "412-599-1039",
            "fax_number": "412-599-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "GREGORY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD060356L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001707640",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Collegeville, PA

Sources for this page

Verify at the official NPI Registry.