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DR. LARRY TAYLOR BOLTON M.D. NPI 1447303367


NPI Information

NPI: 1447303367
Provider Name: DR. LARRY TAYLOR BOLTON, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

CLIA Number: 01D0681950

Address:
303 PARKS AVE
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 574-3623
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DR. Larry Taylor Bolton, M.D. is a family medicine in Scottsboro, AL with 53 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Larry Taylor Bolton, M.D. NPI is 1447303367. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BIRMINGHAM MEDICAL COLLEGE
Graduation Year:1971

The provider's business location address is:

303 PARKS AVE
SCOTTSBORO, AL
ZIP 35768-411
Phone: (256) 574-3623
Fax: (256) 574-6223

The NPI 1447303367 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 CLIA number assigned to this NPI record is 01D0681950 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hemoglobin A1C level (HCPCS:83036)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 1/22/2007 and was last updated on 8/27/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5951ALABAMAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051000569OTHERALABAMABLUE CROSS BLUE SHIELD
2C66958MEDICARE UPINALABAMA
3000000569MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE
4000000569MEDICAIDALABAMA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.