Bolden, Brian Eric

Bolden, Brian Eric is an individual health care provider with primary practice located at 1000 E Mountain Blvd , Wilkes Barre PA 18711-0027. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Bolden, Brian Eric can be contacted via phone (570) 808-7399.

Contact Information

Primary practice address
1000 E Mountain Blvd Wilkes Barre PA 18711-0027
Phone: (570) 808-7399
Fax: (570) 808-5942
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD423426 Pennsylvania
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD423426 Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD423426 Pennsylvania

Profile Details

NPI number 1700846722
LBN Legal business name Bolden, Brian Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700846722 NPPES
Pennsylvania Other 867633 MEDICARE GROUP #
Pennsylvania MEDICAID 100000222 0003 0004 MEDICARE GROUP #
Pennsylvania Other 001582999 MEDICARE GROUP #
Pennsylvania Other 1007307260034 MEDICARE GROUP #
Pennsylvania MEDICAID 1010002220001 MEDICARE GROUP #

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