DR. JOHN MICHAEL RADMAN BOLGER MD NPI 1780476655

NPI Information

  • NPI: 1780476655
  • Provider Name: DR. JOHN MICHAEL RADMAN BOLGER, MD
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • Address: 61 TUSCARORA DR
    CENTERPORT, NY
    ZIP 11721
  • Phone: (631) 942-2466

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NPI Details

DR. John Michael Radman Bolger, MD is a neurology psychiatry neurology in Centerport, NY. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. John Michael Radman Bolger, MD NPI is 1780476655. 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:

61 TUSCARORA DR
CENTERPORT, NY
ZIP 11721-532
Phone: (631) 942-2466

The enumeration date for this NPI number is 5/19/2025 and was last updated on 5/19/2025.

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
12084N0400XPsychiatry & NeurologyNeurologyRESIDENT-PGY1NEW JERSEYYes

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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