Bolger Family Medicine, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

14517R Issued in LA

Legal business name

BOLGER FAMILY MEDICINE, INC

Practice address

3 Medical Plaza PL
Minden, LA 71055-3330

Phone

(318) 377-7118

Fax

(318) 377-7392

NPI assigned

Oct 24, 2006

Last updated

Dec 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Edward Bolger, M.D., PHDNPI 1013914357

Title

President

Phone

(318) 377-7118

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph E Bolger, M.D.

  • Family Medicine Physician
  • Minden, LA
  • NPI 1013914357
  Authorized official Same address or phone

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1861575458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-7118",
            "fax_number": "318-377-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-7118",
            "fax_number": "318-377-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLGER FAMILY MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "BOLGER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-377-7118",
        "authorized_official_credential": "M.D., PHD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "14517R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052825",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Louisiana, LLC (FMC Dialysis Services East Minden)
• Tanika Black, MA, LPC, BSN, RN
• Evelyne Denise Blackwell, RN
• Andrea Natalie Blake-McMahon, M.D.
• Dean Boelter, CRNA
• Joseph E Bolger, M.D.
• Stefanie T Bond, R.D., L.D.N.
• Kimberly Davis Branch, LDN, RD
• Susan Paige Breard, PHARMD
• Brighter Future Counseling Services, LLC

• Family Medicine Physician in Minden, LA
• Providers in Minden, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; 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.