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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT DEANE BOLTON M.D.
NPI 1063738631
Pediatrics in Tacoma, WA

Active since April 07, 2010
9040 JACKSON AVE, TACOMA, WA 98431(253) 968-6292 Get Directions Write a Review

NPPES record last updated: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 27, 2026, Aug 11, 2023, Nov 25, 2022 and 1 more (4 updates tracked since 2019).

About Robert Deane Bolton M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT DEANE BOLTON M.D. (NPI 1063738631) is an individual pediatrics provider in Tacoma, Washington, licensed in New Mexico (MD2013-0296) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1063738631
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameROBERT DEANE BOLTONCredential: M.D.
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-6292
Phone(253) 968-6292
Sole ProprietorNo
Enumeration DateApril 7, 2010
Last NPPES UpdateOctober 27, 20264 updates tracked since enumeration
NPPES CertifiedOctober 27, 2026
✔ NPI 1063738631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD2013-0296
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
9040 JACKSON AVE, Tacoma, WA 98431
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Bolton's NPI number?

The NPI number for Robert Bolton is 1063738631. It was assigned to this individual provider in the NPPES registry on April 7, 2010.

Where is Robert Bolton located?

Robert Bolton practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-6292.

What is Robert Bolton's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Robert Bolton was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.