HENRY M BOLIN PA-C
NPI 1164932299
Physician Assistant - Medical in Gilbert, AZ

Q: What is Henry Bolin's NPI number?

The NPI number for Henry Bolin is 1164932299. It was assigned to this individual provider in the NPPES registry on October 3, 2017.

Q: What is Henry Bolin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Henry Bolin was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 October 03, 2017PECOS Enrolled

2730 S VAL VISTA DR STE 187, GILBERT, AZ 85295(480) 324-0300(480) 324-0324 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 21, 2021, Dec 20, 2018 (2 updates tracked since 2018).

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About Henry M Bolin Pa-c NPPES

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

HENRY M BOLIN PA-C (NPI 1164932299) is an individual medical provider in Gilbert, Arizona, licensed in Arizona (6810) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164932299

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameHENRY M BOLINCredential: PA-C

Location Address2730 S VAL VISTA DR STE 187Gilbert, AZ 85295-1684

Mailing Address2730 S Val Vista Dr Ste 187Gilbert, AZ 85295-1684 · (480) 324-0300 · Fax (480) 324-0324

Phone(480) 324-0300

Fax(480) 324-0324

Sole ProprietorNo

Enumeration DateOctober 3, 2017

Last NPPES UpdateApril 21, 20212 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1164932299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in AZ · 6810

2730 S VAL VISTA DR STE 187, Gilbert, AZ 85295

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Other Identifiers 1

Other6810AZ · Az License Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry M Bolin Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers14 claims22 services$6.30 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

STEPWISE PODIATRY

Podiatrist (Foot & Ankle Surgery)