Stephen M Bolio, PHD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

128714 Issued in MA

Practice address

72A Charles River Rd
Waltham, MA 02453-2402

Phone

(781) 647-0256

NPI assigned

Apr 7, 2010

Last updated

Apr 7, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Nurse Practitioner, Doctor of Philosophy

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.

• Brighton Family Practice, Inc

  • Addiction Medicine (Family Medicine) Physician
  • Brighton, MA
  • NPI 1801804315
  NPD (past)
• Preventive Medicine Associates

  • Addiction Medicine (Family Medicine) Physician
  • Brookline, MA
  • NPI 1962451591
  NPD (past)
• Servicenet Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Northampton, MA
  • NPI 1659314425
  NPD (past)

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1831414416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72A CHARLES RIVER RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532402",
            "telephone_number": "781-647-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72A CHARLES RIVER RD",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024532402",
            "telephone_number": "781-647-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLIO",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "128714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Bocarsly, LICSW
• Dorothy Ruth Bogard
• Peter Allen Bogart, DC
• Irina Boisclair
• Michele Bokun, OT
• Alyssa Bonanno, PA-C
• John Bonavita
• Jessica Bonchi, DPT
• Rachel Bonenfant, LCSW
• Roderick Boone, R.PH.

• Adult Health Nurse Practitioner in Waltham, MA
• Providers in Waltham, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2010; 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.