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MR. LESLIE ROY BOLTON IDC
NPI 1316146731
Military Health Care Provider - Independent Duty Corpsman in Virginia Beach, VA

Active since July 16, 2007
1636 REGULUS AVE, VIRGINIA BEACH, VA 23461(757) 492-2026 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Leslie Roy Bolton Idc NPPES

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

MR. LESLIE ROY BOLTON IDC (NPI 1316146731) is an individual independent duty corpsman provider in Virginia Beach, Virginia and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1316146731
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameMR. LESLIE ROY BOLTONCredential: IDC
Location Address1636 REGULUS AVEVirginia Beach, VA 23461-2200
Mailing Address1636 Regulus AveVirginia Beach, VA 23461-2200 · (757) 492-2026
Phone(757) 492-2026
Sole ProprietorNo
Enumeration DateJuly 16, 2007
✔ NPI 1316146731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
1636 REGULUS AVE, Virginia Beach, VA 23461
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Other Identifiers 1

OtherINDEPENDENT DUTY CORVA · Military

Other Providers at the Same Location NPPES 11

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

DR. PETER MATHEW JOHNSON MD
Family Medicine
1636 REGULUS AVE, COMNAVSPECWARDEVGRU
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2026
MR. WILLIAM KEITH DOW IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 862-9999
JORDAN WILLIAM WARD
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE, ATTN: NOOM
VIRGINIA BEACH, VA 23461
Virginia Beach City (402) 389-0788
S SCOTT OLEXY PA-C
Physician Assistant (Surgical)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2015
MR. SEAN PATRICK MILES USN IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2393
HOA TAN TRAN SOIDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 862-0060
MR. WILLIAM JOSEPH HARRIS JR. SFIDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE, NSWDG (N00M)
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 893-2026
RAYMOND SUHR IDC
Military Health Care Provider (Independent Duty Corpsman)
1636 REGULUS AVE
VIRGINIA BEACH, VA 23461
Virginia Beach City (757) 863-0060

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 Leslie Bolton's NPI number?

The NPI number for Leslie Bolton is 1316146731. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Leslie Bolton located?

Leslie Bolton practices at 1636 Regulus Ave, Virginia Beach, VA 23461. The listed phone number is (757) 492-2026.

What is Leslie Bolton's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Leslie Bolton was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.