James R Bollinger, MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

MD014743E Issued in PA

Legal business name

JAMES R BOLLINGER, MD PC

Practice address

209 W Lancaster Ave
Suite 200
Paoli, PA 19301-1749

Phone

(610) 296-0810

Fax

(610) 296-4968

NPI assigned

Aug 18, 2006

Organization subpart

No

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

Authorized official

Name

James Richard Bollinger, MDNPI 1336156785

Title

President

Phone

(610) 296-0810

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Richard Bollinger, M.D.

  • Urology Physician
  • Paoli, PA
  • NPI 1336156785
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1922112119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749",
            "telephone_number": "610-296-0810",
            "fax_number": "610-296-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W LANCASTER AVE",
            "address_2": "SUITE 200",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011749",
            "telephone_number": "610-296-0810",
            "fax_number": "610-296-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES R BOLLINGER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "BOLLINGER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-296-0810",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "PA",
            "license": "MD014743E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0886036",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Isaacs, MHS
• Gerald A. Isenberg, M.D.
• Benjamin Jacobs, M.D.
• Irene Jacobs, MSW
• Ajit Sivananda Jada, M.D.
• Jay Ann Shop, Inc.
• Daniel Jo
• Jesse Alexander Johnson Jr.
• Karen Johnson
• McKenna Raye Johnston

• Urology Physician in Paoli, PA
• Providers in Paoli, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.