DR. BENNETT ADAM BOLYARD


Address: 3231 S National Ave, Suite 300, Springfield, MO 65807-7304
Phone: 4178885658

DR. BENNETT ADAM BOLYARD (NPI# 1386986545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386986545
Entity Type Individual
Full Name DR. BENNETT ADAM BOLYARD
Credential D.O.
Practice Address 3231 S National Ave
Suite 300
Springfield
MO 65807-7304
Practice Telephone 4178885658
Practice Fax Number 4178410104
Mailing Telephone 4178885658
Mailing Fax Number 4178410104
Enumeration Date 2013-03-25
Last Update Date 2016-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 2016012954 MO Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 34.011878 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 3231 S NATIONAL AVE
SUITE 300
City SPRINGFIELD
State MO
Zip Code 65807-7304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811999386 Geoffery Lynn Stanczyk Obstetrics & Gynecology 3231 S National Ave, Suite 250, Springfield, MO 65807-7304 2005-08-12
1659819274 Melanie Marsh Nurse Practitioner 3231 S National Ave, Ste 240, Springfield, MO 65807-7304 2017-02-02
1336521798 Wendy L. Robinson Nurse Practitioner 3231 S National Ave, Suite 115, Springfield, MO 65807-7304 2015-06-22
1134501695 Carla K. Athen Nurse Practitioner 3231 S National Ave, Suite 300, Springfield, MO 65807-7304 2015-06-22
1306241518 Dawn L. Webb Registered Nurse 3231 S National Ave, Suite 425, Springfield, MO 65807-7304 2014-10-30
1417397472 Kanya L Ahuja Pediatrics 3231 S National Ave, Ste 100, Springfield, MO 65807-7304 2013-07-04
1962741918 Vanessa L. Montileone Registered Nurse 3231 S National Ave, Suite 430, Springfield, MO 65807-7304 2013-02-12
1801133343 Stephanie Kirsten Voorhis Nurse Practitioner 3231 S National Ave, Ste 140, Springfield, MO 65807-7304 2013-01-03
1679824395 Ashley N. Duey Nurse Practitioner 3231 S National Ave, Springfield, MO 65807-7304 2012-09-20
1134475684 Matthew C Otte Pharmacist 3231 S National Ave, Springfield, MO 65807-7304 2012-08-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396390241 Karley Kassandra Murphy Counselor 3734 South Ave #c, Springfield, MO 65807 2019-08-07
1396203626 Auvia L Logan Dietitian, Registered 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 2019-03-05
1598250961 Kathryn Barber Nurse Practitioner 3800 S National Ave Ste 700, Springfield, MO 65807 2018-06-27
1447764899 Missouri Midwifery Service Clinic/Center 3840 South Avenue, Springfield, MO 65807 2017-11-21
1124530290 Senior Living Management Group, LLC Skilled Nursing Facility 3705 S Jefferson Ave, Springfield, MO 65807 2017-10-30
1740663335 Sarah E Kirk Physical Therapist 3545 S. National Ave, Springfield, MO 65807 2015-07-01
1750713335 Amanda Ward Nurse Practitioner 2150 W Republic Rd Ste 112, Springfield, MO 65807 2013-08-06
1932531126 Eugenia R Cortez Counselor 2124 Chesterfield Blvd., Springfield, MO 65807 2013-07-30
1962742866 Missouri Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 3045 W Republic St, Springfield, MO 65807 2013-03-01
1033462387 Miguel Angel Medina Physician Assistant 1900 South Sunshine Ave., Springfield, MO 65807 2012-10-24
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639675077 Anand Kanjolia, M.d. LLC Internal Medicine 222 Carew St Fl 4, Springfield, MA 01104-4109 2018-04-04
1376068817 Personal Primary Care and Weight Management, LLC Internal Medicine 299 Carew St Ste 234, Springfield, MA 01104-2368 2017-08-05
1184145682 Basma Al-bast Internal Medicine 701 N 1st St Ste 434, Springfield, IL 62702-3757 2017-07-05
1689124604 John Duff Internal Medicine 2909 S Camber Ave, Springfield, MO 65809-3547 2016-10-13
1669834941 Siddhi Joshi Internal Medicine 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 2016-03-24
1265898936 Mohammad Rahimuddin Internal Medicine 2556 Snyder Domer Rd, Springfield, OH 45502-8161 2016-01-11
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1033589304 Hshs Medical Group Inc Internal Medicine 3215 Executive Park Dr, Springfield, IL 62703-4514 2015-09-30
1679992895 Ahlam Elbadri Internal Medicine 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 2014-04-15
1528487543 Barbara Vinci Internal Medicine 2443 Troy Rd, Springfield, OH 45504-4233 2014-04-08
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Competitor

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City SPRINGFIELD
Zip Code 65807

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Dataset Information

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.

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