DR. LARRY TAYLOR BOLTON (NPI# 1447303367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447303367 |
| Entity Type | Individual |
| Full Name | DR. LARRY TAYLOR BOLTON |
| Credential | M.D. |
| 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 | 2007-01-22 |
| Last Update Date | 2013-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5951 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 000000569 | 05 | |
| AL | BLUE CROSS BLUE SHIELD | 051000569 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164684692 | Larry Edward Bolton Jr. | Physician Assistant | 3000 S Ih 35, Ste 205, Austin, TX 78704-6513 | 2008-06-26 |
| Street Address |
303 PARKS AVE |
| City | SCOTTSBORO |
| State | AL |
| Zip Code | 35768-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104133495 | Larry T. Bolton, M.d.,p.c. | General Practice | 303 Parks Ave, Scottsboro, AL 35768-2411 | 2010-09-08 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780192765 | Family First Medicine LLC | Family Medicine | 1601 Veterans Drive, Scottsboro, AL 35769 | 2018-01-12 |
| 1356566459 | Mai Ho | Family Medicine | 3707 S Broad St Apt 1004, Scottsboro, AL 35769-7439 | 2007-04-16 |
| 1215088026 | Mandi Michelle Allen-bell | Family Medicine | 405 Taylor Street, Suite A, Scottsboro, AL 35768 | 2007-01-16 |
| 1497821847 | Charles R Bradford Md PC | Family Medicine | 508 Harley St Ste D, Scottsboro, AL 35768-4263 | 2006-11-28 |
| 1578646774 | Riverbend Family Medicine PC | Family Medicine | 406 Taylor St Ste A, Scottsboro, AL 35768-2406 | 2006-10-23 |
| 1912926874 | Sebastian C Tapia | Family Medicine | 304 Parks Ave, Scottsboro, AL 35768-2412 | 2006-07-19 |
| 1295769768 | Andrew Oliver White | Family Medicine | 1302 South Broad Street, Scottsboro, AL 35768-2514 | 2006-07-10 |
| 1225080849 | Mark C Cooper | Family Medicine | 505 Burlington St, Scottsboro, AL 35768-4216 | 2006-05-16 |
| 1053374512 | Bret Gordon Fremming | Family Medicine | 305 W Peachtree St, Scottsboro, AL 35768-4327 | 2006-04-07 |
| 1629039045 | Lonnie N Albin | Family Medicine | 507 Harley Street, Scottsboro, AL 35768 | 2006-03-28 |
| Find all providers in SCOTTSBORO | ||||
| City | SCOTTSBORO |
| Zip Code | 35768 |
Please comment or provide details below to improve the information on DR. LARRY TAYLOR BOLTON.
| 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.