Active NPI
James B Bolton, MD
- Family Medicine Physician
- Indianapolis, IN
National Provider Identifier
1871577858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01045283A
- Practice address
- 5230 E Stop 11 Rd
Suite 250
Indianapolis, IN 46237-6398 - Phone
- (317) 528-8921
- Fax
- (317) 528-6916
- NPI assigned
- Dec 2, 2005
- Last updated
- Feb 21, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01045283A | IN | Primary |
Addresses
Primary practice location
5230 E Stop 11 Rd
Suite 250
Indianapolis, IN 46237-6398
Mailing address
5230 E Stop 11 Rd
Suite 250
Indianapolis, IN 46237-6398
Phone (317) 528-8921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200043520A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| River Crossing Emergency Physicians | Past | Accepting new patients | |
| Rush Memorial Hospital | Past | Accepting new patients | |
| Emergency Physicians of Indianapolis, PC | Past | Accepting new patients |
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1871577858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5230 E STOP 11 RD",
"address_2": "SUITE 250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376398",
"telephone_number": "317-528-8921",
"fax_number": "317-528-6916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5230 E STOP 11 RD",
"address_2": "SUITE 250",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462376398",
"telephone_number": "317-528-8921",
"fax_number": "317-528-6916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTON",
"first_name": "JAMES",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01045283A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200043520A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.