Individual provider Active NPI

Thomas A Bolton, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • West Palm Beach, FL
National Provider Identifier
1871574665
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME41418 Issued in FL
Practice address
2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019
Phone
(561) 659-0770
Fax
(561) 802-3504
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME41418 FL Primary

Addresses

Primary practice location

2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019

Mailing address

2013 Ponce de Leon Ave
West Palm Beach, FL 33407-6019
Phone (561) 659-0770

Other identifiers 2

IdentifierTypeStateIssuer
07475OtherFLBLUE CROSS BLUE SHIELD
373307600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070514000166 FL Practitioner - Pathology 7315044153 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of South Florida College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Pathology, PAGroup PAC ID 6406030188, 11 clinicians
Palm Beach Pathology, PAGroup PAC ID 1658350350, shared by 3 NPIs, 8 clinicians

Practice addresses (Care Compare)

1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (561) 263-4487

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 642-2998

310 SE Veranda Falls Way
Port Saint Lucie, FL 34984-2101
Phone (772) 309-8581

3360 Burns Rd
Palm Beach Gardens, FL 33410-4323
Phone (561) 642-2998

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 495-3185

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 642-2998

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME41418FLMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Feb 10, 2010 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Sep 14, 2010 Accepting new patients
Palm Beach Pathology, PA Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2000 Accepting new patients
Acupath Inc Past Accepting new patients
Treasure Coast Pathology, PA Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

300 SE Hospital Ave
Stuart, FL 34994
Phone (772) 220-1391

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

2013 Ponce de Leon Ave
West Palm Beach, FL 33407
Phone (561) 659-0770

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Interoperability endpoints

  • Direct secure messaging: tbolton274400@mhsdirect.net

Organizations & group practices 6

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 5

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1871574665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2013 PONCE DE LEON AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076019",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 PONCE DE LEON AVE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076019",
            "telephone_number": "561-659-0770",
            "fax_number": "561-802-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLTON",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME41418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07475",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373307600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.