Coy Anthony Bolton, D.C.

Individual provider Active NPI Chiropractor · Anniston, AL

NPI 1992886121 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1992886121
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
1753 (AL)
Practice address
1401 Hillyer Robinson PKW
Suite a
Anniston, AL 36207
Phone
(256) 835-3511
Fax
(256) 835-4931
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Life Chiropractic College, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Hillyer Robinson Pkwy
Suite a
Anniston, AL 36207-6707
Phone (256) 835-3511

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20061129000530 AL Practitioner - Chiropractic 0840298816 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Bolton Chiropractic Center PC Chiropractor Current
since Nov 8, 1996
Accepting new patients
Law Chiropractic Center Inc Chiropractor Past Accepting new patients

Locations

1401 Hillyer Robinson Industrial Pkwy
Anniston, AL 36207
Phone (256) 835-3511

1401 Hillyer Robinson Industrial Pkwy
Ste A
Anniston, AL 36207
Phone (256) 835-3511

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1753 AL Yes

Addresses

Primary practice location

1401 Hillyer Robinson PKW
Suite a
Anniston, AL 36207

Mailing address

1401 Hillyer Robinson Pkwy
Ste a
Anniston, AL 36207-6707
Phone (256) 835-3511

Other providers in Anniston, AL

All providers in Anniston, AL · Chiropractor in Alabama

Sources for this page

Verify at the official NPI Registry.