Individual
BRIAN SCOTT BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 855-3406
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101057564
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831141597
NPI GROUP
—
05
—
5860920
—
VA
Enumeration date
07/13/2005
Last updated
08/26/2016
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