Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHANE R BOLLES
NPI 1104725332
Driver in Grand Island, NE

Q: What is Shane Bolles's NPI number?

The NPI number for Shane Bolles is 1104725332. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Q: What is Shane Bolles's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shane Bolles was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since November 03, 2026

218 W 8TH ST, GRAND ISLAND, NE 68801(308) 930-0318 Get Directions Write a Review

NPPES record added: November 3, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Shane R Bolles NPPES

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

SHANE R BOLLES (NPI 1104725332) is an individual driver provider in Grand Island, Nebraska, licensed in Nebraska (G28004771) and active in the NPI registry since November 2026.

NPPES Registry Identity

NPI1104725332

Entity TypeIndividualMale

Primary Taxonomy172A00000X

Provider Legal NameSHANE R BOLLES

Location Address218 W 8TH STGrand Island, NE 68801-4332

Mailing Address218 W 8th StGrand Island, NE 68801-4332 · (308) 930-0318

Phone(308) 930-0318

Sole ProprietorNo

Enumeration DateNovember 3, 2026

NPPES CertifiedNovember 3, 2026

✔ NPI 1104725332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDriverOther Service Providers

Taxonomy Code172A00000X

License✔ Licensed in NE · G28004771

Definition

A person employed to operate a motor vehicle as a carrier of persons or property.

218 W 8TH ST, Grand Island, NE 68801

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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 Shane Bolles's NPI number?

The NPI number for Shane Bolles is 1104725332. It was assigned to this individual provider in the NPPES registry on November 3, 2026.

Where is Shane Bolles located?

Shane Bolles practices at 218 W 8th St, Grand Island, NE 68801. The listed phone number is (308) 930-0318.

What is Shane Bolles's specialty?

The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.

When was this NPI record last updated?

The NPPES record for Shane Bolles was last updated on November 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.