David Eric Bolster (NPI# 1144205824, PAC ID# 4082692058) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1144205824 |
| PAC ID by PECOS | 4082692058 |
| Professional Enrollment ID | I20040708000289 |
| Full Name | David Eric Bolster |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Address |
201 Oakbrook Ln Suite 255 Summerville SC 29485-7538 |
| Phone Number | 8436956071 |
| Gender | M |
| Credential | MD |
| Medical School | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 4880508068 |
| Number of Group Practice Members | 133 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420079 | TRIDENT MEDICAL CENTER |
| 420065 | BON SECOURS-ST FRANCIS XAVIER HOSPITAL |
| 420087 | ROPER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1516 Old Trolley Rd, Suite 101, Summerville, SC 29485-8209 | 8432039393 | PALMETTO PRIMARY CARE PHYSICIANS |
| 201 Oakbrook Ln, Suite 255, Summerville, SC 29485-7538 | 8436956071 | PALMETTO PRIMARY CARE PHYSICIANS |
| Organization Legal Name | PALMETTO PRIMARY CARE PHYSICIANS |
| Physicians | 137 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael Phillips | Nurse Practitioner | Palmetto Primary Care Physicians | 7 S Alliance Dr, Suite 211b, Goose Creek, SC 29445-7269 |
| Lori M Roses | Qualified Audiologist | Palmetto Primary Care Physicians | 3495 Iron Horse Rd, Ladson, SC 29456-4319 |
| Kori A Frank | Nurse Practitioner | Palmetto Primary Care Physicians | 115 Executive Pkwy, Moncks Corner, SC 29461-3955 |
| Sasha Milleman Perez | Family Medicine | Palmetto Primary Care Physicians | 3030 Ashley Town Ctr Dr, Suite 102a, Charleston, SC 29414-5678 |
| Jillian Clesi | Physician Assistant | Palmetto Primary Care Physicians | 5325 Appian Way, Charleston, SC 29420-7234 |
| Lynn Ann Leclerc | Nurse Practitioner | Palmetto Primary Care Physicians | 113 Willbrook Blvd, Unit F, Pawleys Island, SC 29585-8245 |
| Candice Alise Jones | Nurse Practitioner | Palmetto Primary Care Physicians | 809 N Cedar St, Summerville, SC 29483-6605 |
| Cielita K Halyard | Nurse Practitioner | Palmetto Primary Care Physicians | 119 Springhall Dr, Goose Creek, SC 29445-5368 |
| Reid D Castellone | Family Medicine | Palmetto Primary Care Physicians | 213 W 4th N St, Summerville, SC 29483-6541 |
| Jennifer R Stolin | Family Medicine | Palmetto Primary Care Physicians | 110 Springhall Dr, Suite B, Goose Creek, SC 29445-5335 |
| Street Address |
201 OAKBROOK LN SUITE 255 |
| City | SUMMERVILLE |
| State | SC |
| Zip | 29485-7538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy B Reeves | Physician Assistant | Palmetto Primary Care Physicians | 201 Oakbrook Ln, Suite 255, Summerville, SC 29485-7538 |
| Colby Harold Grossman | Internal Medicine | Palmetto Primary Care Physicians | 201 Oakbrook Ln, Suite 255, Summerville, SC 29485-7538 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn J Gershkowitz | Nurse Practitioner | Equilibrium Endocrinology, Pa | 4340 Ladson Rd, Summerville, SC 29485 |
| Robert Stephen Iannace Jr. | Chiropractic | 1357 Bacons Bridge Rd, Summerville, SC 29485-3335 | |
| Marci H Woods | Nurse Practitioner | Roper Saint Francis Physicians Network | 9500 Dorchester Rd, Suite 362, Summerville, SC 29485-4304 |
| Judith L Hoffman | Clinical Social Worker | 89 B Old Trolley Rd, Suite 209, Summerville, SC 29485-4933 | |
| Christopher John Jones | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Susan S Crocker | Psychiatry | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| Christine Diane Hamolia | Certified Clinical Nurse Specialist (cns) | 709 Old Trolley Rd, Summerville, SC 29485-5203 | |
| James C Turn | Chiropractic | Willturn PC | 705 Old Trolley Rd E, Summerville, SC 29485-5212 |
| Thomas Edewaard | Optometry | 705 Old Trolley Rd A, Summerville, SC 29485-5212 | |
| Virginia Chetverikov | Optometry | Mobile Vision of South Carolina LLC | 717 Trolley Rd, Summerville, SC 29485-5287 |
| Find all physicians in zip 29485 | |||
| City | SUMMERVILLE |
| Zip Code | 29485 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SUMMERVILLE + INTERNAL MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.