LARRY T. BOLTON, M.D.,P.C. (NPI# 1104133495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104133495 |
| Entity Type | Organization |
| Organization Name | LARRY T. BOLTON, M.D.,P.C. |
| Practice Address |
303 Parks Ave Scottsboro AL 35768-2411 |
| Practice Telephone | 2565743623 |
| Practice Fax Number | 2565746223 |
| Mailing Telephone | 2565743623 |
| Mailing Fax Number | 2565746223 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Authorized Official Name | DR. LARRY T BOLTON (OWNER) |
| Authorized Official Telephone | 2565743623 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5951 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000000569 | 05 |
| Street Address |
303 PARKS AVE |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447303367 | Larry Taylor Bolton | Family Medicine | 303 Parks Ave, Scottsboro, AL 35768-2411 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538787510 | Advanced Physical Therapy, LLC | Physical Therapist | 24500 John T Reid Pkwy, Scottsboro, AL 35768 | 2020-07-07 |
| 1083955173 | Premier Medical Clinic LLC | Clinic/Center | 503 Burlington Street, Scottsboro, AL 35768 | 2013-03-14 |
| 1285811463 | Edward Wesley Knowles Md PC | Surgery | 911 South Broad St, Scottsboro, AL 35768 | 2008-01-30 |
| 1669664439 | Leslie A Barrilleaux | Dentist | 412 E Willow St, Scottsboro, AL 35768 | 2007-08-15 |
| 1811049117 | Dawson Staley Colvert | Dentist | 313 Parks Avenue, Scottsboro, AL 35768 | 2007-01-17 |
| 1255483806 | Grady Mack Goss | Dentist | 313 Parks Ave, Scottsboro, AL 35768 | 2007-01-16 |
| 1215088026 | Mandi Michelle Allen-bell | Family Medicine | 405 Taylor Street, Suite A, Scottsboro, AL 35768 | 2007-01-16 |
| 1376617571 | David Pierce Chiropractic Inc | Chiropractor | 624 East Willow St, Scottsboro, AL 35768 | 2006-11-20 |
| 1588733299 | Valley Dental Implant Center LLC | Dentist | 921 South Broad St, Scottsboro, AL 35768 | 2006-11-07 |
| 1558465815 | Mark A Reece | Dentist | 416 E Laurel, Scottsboro, AL 35768 | 2006-09-08 |
| Find all providers in zip 35768 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801811781 | Wallace Byron Mcgahan Jr. | General Practice | 507 Harley St, Scottsboro, AL 35768-4218 | 2006-07-13 |
| 1790148740 | Lifelinc Direct Care Pllc | General Practice | 2207 Moody Ridge Rd, Scottsboro, AL 35768-4113 | 2016-03-29 |
| 1205021623 | Cumberland Family Clinic, Inc | General Practice | 304 Parks Ave, Scottsboro, AL 35768-2412 | 2007-09-10 |
| 1760548804 | Health Quest, L.L.C. | General Practice | 515 Veterans Dr, Scottsboro, AL 35768-2128 | 2006-12-30 |
| 1073680179 | Oscar V Fadul | General Practice | 507 Harley St, Scottsboro, AL 35768-4218 | 2006-11-30 |
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|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.