Elijah Holbrook Bolin

M.D. | Pediatric Cardiology | Male

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Complete Profile:

Elijah Holbrook Bolin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Cardiology
Provider Name :	Elijah Holbrook Bolin
Credential :	M.D.
Gender :	Male

Business Address:

Elijah Holbrook Bolin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1 Childrens Way # 653 Little Rock, AR, 72202-3500 United States
Phone Number :	501-364-1100

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1346594470
NPI Entity Type :	Individual
First Enrolment Date :	26 Oct, 2012
Last Updated On :	22 Aug, 2016

Medicare Participation:

Elijah Holbrook Bolin participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	4789803503
Medicare Enrollment ID :	I20140910000162
Primary Specialty :	Cardiovascular Disease (cardiology)
Medical School :	Other
Graduation Year :	2007
Accepts Medicare?	Yes. Elijah Holbrook Bolin accepts medicare insurance.

Group Practice Association:

Elijah Holbrook Bolin is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Elijah Holbrook Bolin is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Arkansas	4082528955	1115	1 Children's Way Little Rock, AR - 722023500	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 854 Little Rock, AR - 722023500 Ph: 5013641100	Yes
University Of Arkansas	4082528955	1115	1 Childrens Way Suite 653 Little Rock, AR - 722023571 Ph: 5013641100	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elijah Holbrook Bolin are as mentioned. Primary taxonomy code for Elijah Holbrook Bolin, M.D. is 2080P0202X (Pediatrics Pediatric Cardiology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0202X	Pediatrics Pediatric Cardiology	No	N7526	TX
2080P0202X	Pediatrics Pediatric Cardiology	Yes	E-8664	AR

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1802 Banks Sstreet, Apartment 1 Houston, TX, 77098 United States
Phone Number :	865-384-4905

Business Location:

Patients can refer following map for directions to Elijah Holbrook Bolin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.