Louis R Bolen, M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

ME74713 Issued in FL

Practice address

1605 E Plaza Dr Ste 103
Tallahassee, FL 32308-5327

Phone

(850) 878-7271

Fax

(850) 878-1509

NPI assigned

Jul 15, 2006

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

Doctor of Medicine

Practice roles

Locations

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.

• Tallahassee Sleep Diagnostics, Inc

  • Clinical Medical Laboratory
  • Tallahassee, FL
  • NPI 1780128769
  NPD
• Advanced Medical Health Clinic, LLC

  • Administrator Registered Nurse
  • Tallahassee, FL
  • NPI 1881604379
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1992721393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E PLAZA DR STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085327",
            "telephone_number": "850-878-7271",
            "fax_number": "850-878-1509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E PLAZA DR STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085327",
            "telephone_number": "850-878-7271",
            "fax_number": "850-878-1509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLEN",
        "first_name": "LOUIS",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "FL",
            "license": "ME74713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dmytro Bohuslavskyi, MD
• Jerry D Boland, M.D.
• Monica Bolden
• Paul Lee Bolden, PA
• Timothy William Bolek
• Lisa Marie Bolhouse, LCSW
• Marisa Bolognini
• Bona Emergency Physicians LLC
• Bond Community Health Center
• Bond Community Health Center

• Emergency Medical Services (Emergency Medicine) Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Florida

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

Verify at the official NPI Registry.