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Contact Information

BRIAN E BOLDEN, MD
1000 E MOUNTAIN BLVD
WILKES-BARRE, PA18711-0027
 Phone: 570-808-7399
 Fax: 570-808-5942
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BRIAN E BOLDEN · (Male)

NPI # 1700846722
Status Active
Credentials MD
Entity Individual
Enumeration date 03/24/2006
Last updated 07/29/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD423426
  • PA Medicaid 100000222 0003 0004
  • PA Medicaid 1010002220001
  • PA Other 001582999 HIGHMARK BS
  • PA Other 1007307260034 MEDICAID GROUP #
  • PA Other 867633 MEDICARE GROUP #
Hospital affiliation(s)
  • GEISINGER WYOMING VALLEY MEDICAL CENTER - (Acute Care)
    1000 EAST MOUNTAIN BOULEVARD
    WILKES BARRE, PA 18711
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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