Active NPI
Gregory C Bolton Jr., MD
- Obstetrics & Gynecology Physician
- Collegeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD060356L
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001707640 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NJ, VI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD060356L | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group PA | Obstetrics & Gynecology | Current | Accepting new patients |
| H&H BSQ LLC | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Governor Juan F. Luis Hospital & Medical Center | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Main Line Healthcare | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Pennsylvania PC | Obstetrics & Gynecology | Current | 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
- 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.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
Obstetrics & Gynecology
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
-
- Family Medicine Physician
- Newtown Square, PA
- NPI 1922077643
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Christiansted, St. Croix, VI
- NPI 1972503647
-
- General Practice Physician
- Wyomissing, PA
- NPI 1336765080
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- St Croix, VI
- NPI 1740238534
-
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Thomas, VI
- NPI 1487699047
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.