BRYAN BOLINGER (NPI# 1609149871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609149871 |
| Entity Type | Individual |
| Full Name | BRYAN BOLINGER |
| Credential | DO |
| Practice Address |
740 High St Ste 3002 Williamsport PA 17701-3102 |
| Mailing Address |
1201 Grampian Blvd Williamsport PA 17701-1900 |
| Practice Telephone | 5703212820 |
| Practice Fax Number | 5703212821 |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2020-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | OS016949 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
740 HIGH ST STE 3002 |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887821 | Hani Jawdat Tuffaha | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2005-11-08 |
| 1891305579 | Suhag Patel | Physician Assistant | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2020-08-06 |
| 1639652241 | Charlie Fohringer | Physician Assistant | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2018-09-10 |
| 1013451103 | Georgios Klironomos | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2016-12-08 |
| 1598219602 | Laura Bojko | Nurse Practitioner | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2016-08-05 |
| 1962805390 | Darshan Lal | Psychiatry & Neurology | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2014-09-30 |
| 1124462999 | Fadi Bader Sweiss | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2013-04-24 |
| 1881960730 | Weizhen Wang | Psychiatry & Neurology | 740 High St Ste 3002, Williamsport, PA 17701 | 2012-03-26 |
| 1457665648 | Wenzhuan He | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2010-07-30 |
| 1548238322 | Philip Joseph Hlavac | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2006-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902887821 | Hani Jawdat Tuffaha | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2005-11-08 |
| 1013451103 | Georgios Klironomos | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2016-12-08 |
| 1124462999 | Fadi Bader Sweiss | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2013-04-24 |
| 1457665648 | Wenzhuan He | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2010-07-30 |
| 1235271560 | Hani J Tuffaha Md PC | Neurological Surgery | 904 Campbell St, Williamsport, PA 17701-3166 | 2007-02-13 |
| 1548238322 | Philip Joseph Hlavac | Neurological Surgery | 740 High St Ste 3002, Williamsport, PA 17701-3102 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754510 | Isabela Marlene Tetino | Neurological Surgery | 1029 Maplewood Dr, Canonsburg, PA 15317-6058 | 2019-11-08 |
| 1326608779 | Pascal Lavergne | Neurological Surgery | 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 | 2019-06-18 |
| 1003475120 | Michael Bradley Avery | Neurological Surgery | 909 Walnut Street, 2nd Floor, Philadelphia, PA 19107-5211 | 2019-06-12 |
| 1427573492 | Mercy Management of Sepa | Neurological Surgery | 2701 Holme Ave Ste 305, Phila, PA 19152-2029 | 2017-08-10 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1083002661 | Excela Health Physician Practices, Inc. | Neurological Surgery | 100 Excela Health Dr Ste 203b, Latrobe, PA 15650-9001 | 2015-01-05 |
| 1780006874 | Donald Reigel | Neurological Surgery | 1139 Links Way, Gibsonia, PA 15044-7725 | 2014-01-09 |
| 1962832782 | Ronald Larry Paul | Neurological Surgery | 5550 Nursery Road, Dover, PA 17315 | 2013-11-14 |
| 1457787434 | Allegheny Clinic | Neurological Surgery | 575 Coal Valley Rd Ste 260, Clairton, PA 15025-3716 | 2013-09-23 |
| 1144666348 | Sean Patrick Polster | Neurological Surgery | 203 Lothrop St Ste 521, Pittsburgh, PA 15213-2548 | 2013-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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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.