DR. BRIAN ERIC BOLDEN (NPI# 1700846722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700846722 |
| Entity Type | Individual |
| Full Name | DR. BRIAN ERIC BOLDEN |
| Credential | MD |
| Practice Address |
1000 E Mountain Blvd Wilkes Barre PA 18711-0027 |
| Mailing Address |
100 N Academy Ave Danville PA 17822-4903 |
| Practice Telephone | 5708087399 |
| Practice Fax Number | 5708085942 |
| Mailing Telephone | 5702145681 |
| Mailing Fax Number | 5702716578 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD423426 | PA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD423426 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD423426 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BS | 001582999 | 01 |
| PA | 100000222 0003 0004 | 05 | |
| PA | 1010002220001 | 05 | |
| PA | MEDICAID GROUP # | 1007307260034 | 01 |
| PA | MEDICARE GROUP # | 867633 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 575 N River St, Wilkes Barre, PA 187642634 | 5705524450 | 5705524455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689717076 | Brian Lorenzo Bolden | Technician | 904 G St, Eureka, CA 95501-1829 | 2007-02-15 |
| Street Address |
1000 E MOUNTAIN BLVD |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841292943 | Robert A Rostock | Specialist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-06-02 |
| 1396342994 | Haley Stackhouse | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-10-06 |
| 1346852670 | Nicholas John Preston | Pharmacist | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-08-18 |
| 1497363816 | Ashley Hine | Surgery | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-22 |
| 1851919971 | Chelsea Pieshefski | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-07-07 |
| 1437776150 | Alyssa M Callela | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-29 |
| 1679199848 | Gabrielle Cristina Roberts | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-23 |
| 1194341602 | Kylie Morgan Verespy | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-06-20 |
| 1346865680 | Jillian Theresa Butkiewicz | Physician Assistant | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2020-06-12 |
| 1902426711 | Belinda Sibanda | Student in an Organized Health Care Education/Training Program | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0001 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851616734 | Geisinger Clinci | Internal Medicine | 1000 E Mountain Dr, Wilkes Barre, PA 18711 | 2010-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346571676 | Institute of Palliative Medicine PC | Internal Medicine | 1 Country Club Pl, South Abington Township, PA 18411-9199 | 2010-01-27 |
| 1598956013 | Eva B Reitschuler-cross | Internal Medicine | 200 Lothrop St # 933w, Pittsburgh, PA 15213 | 2007-08-08 |
| 1043265820 | Consultants In Medical Oncology & Hematology, PC | Internal Medicine | 30 Lawrence Rd, Suite 201, Broomall, PA 19008-3301 | 2006-05-23 |
| 1235183906 | Margaret Kreher | Internal Medicine | 925 Chestnut Street Suite 420, Philadelphia, PA 19107 | 2006-05-19 |
| 1013972058 | Jonathan L. Gelfand | Internal Medicine | 205 Rhyle Ln, Bala Cynwyd, PA 19004-2323 | 2006-04-20 |
| 1194361766 | Temple Faculty Practice Plan, Inc | Internal Medicine | 3401 N Broad St, Philadelphia, PA 19140-5103 | 2019-11-19 |
| 1235601238 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1001 Baltimore Pike, Suite 14ll, Springfield, PA 19064-2800 | 2019-01-02 |
| 1821560350 | Mercy Management of Southeastern Pennsylvani | Internal Medicine | 1500 Lansdowne Ave, Darby, PA 19023-1200 | 2018-12-21 |
| 1033651245 | Thi of Pennsylvania At Samaritan Hospice LLC | Internal Medicine | 2 Campus Blvd, Newtown Square, PA 19073-3243 | 2016-11-07 |
| 1427406925 | Alexandra Anne Evans | Internal Medicine | 1787 Sentry Pkwy W Ste 405, Blue Bell, PA 19422-2239 | 2016-05-25 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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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.