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Gordon Bolles

Nurse Practitioner Nurse Practitioner - Adult Health

100 High St
Buffalo , New York 14203-1126

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Gordon Bolles

Nurse Practitioner Nurse Practitioner - Adult Health

100 High St
Buffalo , New York 14203-1126

(716) 630-1219

Write a Review Save Call

Gordon Bolles

Nurse Practitioner Nurse Practitioner - Adult Health

100 High St
Buffalo , New York 14203-1126

(716) 630-1219 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner
  • Nurse Practitioner - Adult Health

Languages spoken

  • English

Location

100 High St Buffalo , New York 14203-1126

First Address

  • Gordon Bolles
  • 425 Essjay Rd Ste 170
  • Williamsville, NY
  • Zip : 14221-8235
  • Phone : (716) 630-1219

Second Address

  • Gordon Bolles
  • 100 High St
  • Buffalo, NY
  • Zip : 14203-1126
  • Phone : (716) 859-5600

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FAQs


Where did Gordon Bolles attend graduate school?

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Where did Gordon Bolles do his residency?

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Where did Gordon Bolles do his fellowship?

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Is Gordon Bolles board certified?

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What type of doctor is Gordon Bolles

Nurse Practitioner

In what state does Gordon Bolles practice in?

New York

Where is Gordon Bolles ’s practice located?

100 High St , Buffalo, New York, 14203-1126

What is Gordon Bolles ’s gender?

Male

Is Gordon Bolles a sole practitioner?

No

Is Gordon Bolles accepting new patients?

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What languages does Gordon Bolles speak?

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Does Gordon Bolles accept insurance?

Yes, Gordon Bolles accepts insurance

Does Gordon Bolles offers telemedicine?

Gordon Bolles has not indicated if he offers telemedicine

What is Gordon Bolles ’s professional license number?

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What is Gordon Bolles ’s NPI number?

1013538461

Does Gordon Bolles have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 363L00000X Nurse Practitioner 309573 NY
N 363LA2200X Nurse Practitioner - Adult Health 309573 NY

National Provider Identifier

NPI 1013538461
Provider Name Gordon Bolles
First Address Williamsville, NY 14221-8235
Second Address Buffalo, NY 14203-1126
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 27/04/2020
Last Update Date 21/01/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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