ALAN RANDAL BOLLINGER DO NPI 1295830115

NPI Information

NPI: 1295830115
Provider Name: ALAN RANDAL BOLLINGER, DO
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
3509 E 29TH ST
DES MOINES, IA
ZIP 50317
Phone: (515) 248-1600
Get Directions

Alan Randal Bollinger, DO is an addiction medicine family medicine in Des Moines, IA with 36 years of experience. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Alan Randal Bollinger, DO NPI is 1295830115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3509 E 29TH ST
DES MOINES, IA
ZIP 50317
Phone: (515) 248-1600
Fax: (515) 248-1610

The NPI 1295830115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 5/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0401X	Family Medicine	Addiction Medicine	DO-02348	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0421628	MEDICAID	IOWA
2	1295830115	OTHER	IOWA	MEDICARE PTAN IB3072001

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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