Brian T Bolinger (NPI# 1710280219, PAC ID# 5193038206) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1710280219 |
| PAC ID by PECOS | 5193038206 |
| Professional Enrollment ID | I20150720000211 |
| Full Name | Brian T Bolinger |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC |
| Address |
740 Deerwood Ave Neenah WI 54956-1601 |
| Phone Number | 9207519600 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 0446152748 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520009 | ST ELIZABETH HOSPITAL |
| 520088 | ST AGNES HOSPITAL |
| 520045 | THEDA CLARK MEDICAL CENTER |
| 521358 | MINISTRY DOOR COUNTY MEDICAL CENTER |
| 521334 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 740 Deerwood Ave, Neenah, WI 54956-1601 | 9207519600 | RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC |
| 933 Newbury St, Ripon, WI 54971-1730 | 9205312000 | RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC |
| 800 Riverside Dr, Waupaca, WI 54981-1943 | 7152581000 | RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua J Jarvis | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 333 N Commercial St, Neenah, WI 54956-2657 |
| Timothy H Seline | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Rudolph Y Lin | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Hong Xie | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 614 Memorial Dr, Chilton, WI 53014-1568 |
| Bradley J Hartmann | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 620 W Brown St, Waupun, WI 53963-1702 |
| Lisa D Roller | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 333 N Commercial St, Neenah, WI 54956-2657 |
| Sherry L Konen | Nurse Practitioner | Radiology Associates of The Fox Valley, Sc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Douglas R Conners | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Jon C Kralik | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 333 N Commercial St, Neenah, WI 54956-2657 |
| Joseph H Introcaso | Diagnostic Radiology | Radiology Associates of The Fox Valley, Sc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Street Address |
740 DEERWOOD AVE |
| City | NEENAH |
| State | WI |
| Zip | 54956-1601 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gizell R Larson | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Brianne M Wienkers | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Jill M Hietpas | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1401 |
| Tait D Fors | Urology | Wisconsin Institute of Urology Sc | 1265 W American Dr, Suite 100, Neenah, WI 54956-1405 |
| Curtis C Baltz | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Megan J Kane | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Richard D Klamm | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Jennifer A Norden | Internal Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Venkata S Udayagiri | Family Medicine | Thedacare Incorporated | 333 N Green Bay Rd, Neenah, WI 54956-1954 |
| Daniel L Long | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Find all physicians in zip 54956 | |||
| City | NEENAH |
| Zip Code | 54956 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | NEENAH + DIAGNOSTIC RADIOLOGY |
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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.