DR. WILBURN DONALD BOLTON III (NPI# 1225267289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225267289 |
| Entity Type | Individual |
| Full Name | DR. WILBURN DONALD BOLTON III |
| Credential | M.D. |
| Practice Address |
2451 Fillingim Street Mastin 102 Mobile AL 36617 |
| Mailing Address |
Po Box 40480 Mobile AL 36640-0480 |
| Practice Telephone | 2514705890 |
| Practice Fax Number | 2514717925 |
| Mailing Telephone | 2514705890 |
| Mailing Fax Number | 2514717925 |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 30556 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
30556 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
2451 FILLINGIM STREET MASTIN 102 |
| City | MOBILE |
| State | AL |
| Zip Code | 36617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110883 | Kelly Powers Roveda | Pathology | 2451 Fillingim Street, Mobile, AL 36617-2238 | 2005-11-10 |
| 1689101297 | Zeiad Hussain | Radiology | 2451 Fillingim Street, Mastin 101, Mobile, AL 36617-2238 | 2017-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871118760 | Travis Berry | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2020-06-16 |
| 1164064978 | Crystal Aerin Deweever | Counselor | 2400 Gordon Smith Dr., Mobile, AL 36617 | 2019-10-14 |
| 1871145938 | Sagar Kumar | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Dr. Rm 714, Mobile, AL 36617 | 2019-07-09 |
| 1639630882 | Sarah Anderson | Student in an Organized Health Care Education/Training Program | 2451 University Hospital Drive, Moorer Bldg. Room 120, Mobile, AL 36617 | 2019-03-29 |
| 1215415120 | Fnu Sameeta | Student in an Organized Health Care Education/Training Program | 2451 Usa Med Center Drive, Moorer Building Room 120, Mobile, AL 36617 | 2018-08-02 |
| 1659857670 | Sara Roberta Avalos Hernandez | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Drive, Moorer Building, Rm 120, Mobile, AL 36617 | 2018-07-12 |
| 1669978359 | Colin Thomas Buckley | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr. Rm 714, Mobile, AL 36617 | 2018-04-02 |
| 1336644590 | Shuo Shawn Liu | Student in an Organized Health Care Education/Training Program | 2451 Usa Medical Center Dr., Moorer Bldg. Room 120, Mobile, AL 36617 | 2018-03-28 |
| 1609308741 | Kulwant Singh Bath | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St Res Box 7th Floor, Mobile, AL 36617 | 2017-03-29 |
| 1780115238 | Lindsay Dianne Williams | Student in an Organized Health Care Education/Training Program | 2451 Fillingim St., Mst 709, Mobile, AL 36617 | 2017-03-27 |
| Find all providers in zip 36617 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093316259 | University of South Alabama Health Care Authority | Internal Medicine | 2503 Old Shell Rd, Mobile, AL 36607-3021 | 2020-11-04 |
| 1972963064 | University of South Alabama | Internal Medicine | 2451 Fillingim St, Mastin Bldg 102, Mobile, AL 36617-2238 | 2016-03-02 |
| 1982897625 | Charles Runels | Internal Medicine | 750 Downtowner Loop W Ste A, Mobile, AL 36609-5500 | 2007-08-27 |
| 1962069690 | Usa Health Physician Billing Services LLC | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2238 | 2019-05-29 |
| 1346601739 | Irfan Ahmed Hashmi | Internal Medicine | 1303 Dr Martin L King Jr Ave, Mobile, AL 36603-5341 | 2016-03-11 |
| 1487049300 | Heather Lee Fishel | Internal Medicine | 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617-2238 | 2015-03-30 |
| 1043649148 | Alabama Providence Healthcare Services | Internal Medicine | 6701 Airport Blvd, Suite A101, Mobile, AL 36608-6705 | 2013-11-08 |
| 1245669514 | Alabama Providence Healthcare Services | Internal Medicine | 6701 Airport Blvd, Suite A101, Mobile, AL 36608-6705 | 2013-11-06 |
| 1952696247 | Jessica Kaur Bhathal | Internal Medicine | 1700 Spring Hill Ave Ste 100, Mobile, AL 36604-1416 | 2011-06-14 |
| 1407047129 | Jocelyn E Hewitt | Internal Medicine | 1700 Spring Hill Ave, Suite 100, Mobile, AL 36604-1407 | 2007-08-07 |
| Find all providers in MOBILE | ||||
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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.