CRISPIN G. BOLISAY MD APMC NPI 1265497671

NPI Information

  • NPI: 1265497671
  • Provider Name: CRISPIN G. BOLISAY, MD APMC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 105 MEDICAL CENTER DR
    SUITE 304
    SLIDELL, LA
    ZIP 70461
  • Phone: (985) 646-0360

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NPI Details

CRISPIN G. BOLISAY, MD APMC is a nephrology internal medicine in Slidell, LA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. CRISPIN G. BOLISAY, MD APMC NPI is 1265497671. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

105 MEDICAL CENTER DR
SUITE 304
SLIDELL, LA
ZIP 70461-544
Phone: (985) 646-0360
Fax: (985) 646-0362

The provider's authorized official is Crispin G Bolisay .
The authorized official title is President and has the following contact phone number (985) 646-0360.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 12/30/2008.

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
1207RN0300XInternal MedicineNephrologyYes

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
11443476MEDICAIDLOUISIANA
25CC11MEDICARE ID-TYPE UNSPECIFIEDLOUISIANAGROUP MEDICARE #

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: 11/21/2025

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