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TIMOTHY ALEX BOLCH OD
NPI 1104754241
Student in an Organized Health Care Education/Training Program in Taylorsville, NC

Active since May 11, 2026PECOS Enrolled
174 BOLICK LN, TAYLORSVILLE, NC 28681(828) 495-1234 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Timothy Alex Bolch Od NPPES

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

TIMOTHY ALEX BOLCH OD (NPI 1104754241) is an individual student in an organized health care education/training program in Taylorsville, North Carolina and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104754241
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTIMOTHY ALEX BOLCHCredential: OD
Location Address174 BOLICK LNTaylorsville, NC 28681-4052
Mailing Address174 Bolick LnTaylorsville, NC 28681-4052 · (828) 495-1234
Phone(828) 495-1234
Sole ProprietorNo
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1104754241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
174 BOLICK LN, Taylorsville, NC 28681
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Timothy Alex Bolch Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

MAKAYLA ALYSSA JONES
Student in an Organized Health Care Education/Training Program
174 BOLICK LN
TAYLORSVILLE, NC 28681
Alexander County (828) 495-1234
DR. RICHARD WOODROW WILLIAMS III D.C., LAT, ATC, CCEP
Chiropractor
174 BOLICK LN, SUITE 102
TAYLORSVILLE, NC 28681
Alexander County (828) 598-0371
BETHLEHEM FAMILY PRACTICE, PA
Clinic/Center (Rural Health)
174 BOLICK LN, SUITE 202
TAYLORSVILLE, NC 28681
Alexander County (828) 495-8226
DR. MARK A FARUQUE MD
Family Medicine
174 BOLICK LN, SUITE 202
TAYLORSVILLE, NC 28681
Alexander County (828) 495-8226
CHIRO CAROLINA FAMILY AND SPORTS CARE
Chiropractor
174 BOLICK LN, SUITE 102
TAYLORSVILLE, NC 28681
Alexander County (828) 598-0371
BETHLEHEM FAMILY PRACTICE
Family Medicine
174 BOLICK LN, SUITE 202
TAYLORSVILLE, NC 28681
Alexander County (828) 495-8226

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 Timothy Bolch's NPI number?

The NPI number for Timothy Bolch is 1104754241. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Timothy Bolch located?

Timothy Bolch practices at 174 Bolick Ln, Taylorsville, NC 28681. The listed phone number is (828) 495-1234.

What is Timothy Bolch's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Timothy Bolch enrolled in Medicare?

Yes. Timothy Bolch is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Timothy Bolch was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.