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CRISPIN G. BOLISAY MD
NPI 1316902737
Internal Medicine - Nephrology in Slidell, LA

Active since April 19, 2006
105 MEDICAL CENTER DR, SUITE 304, SLIDELL, LA 70461(985) 646-0360(985) 646-0362 Get Directions Write a Review

NPPES record last updated: December 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crispin G. Bolisay Md NPPES

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

CRISPIN G. BOLISAY MD (NPI 1316902737) is an individual nephrology provider in Slidell, Louisiana, licensed in Louisiana (05389R) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1316902737
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameCRISPIN G. BOLISAYCredential: MD
Location Address105 MEDICAL CENTER DR, SUITE 304Slidell, LA 70461-5544
Mailing Address105 Medical Center Dr, Suite 304Slidell, LA 70461-5544 · (985) 646-0360 · Fax (985) 646-0362
Phone(985) 646-0360
Fax(985) 646-0362
Sole ProprietorYes
Enumeration DateApril 19, 2006
Last NPPES UpdateDecember 30, 2008
✔ NPI 1316902737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in LA · 05389R
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
105 MEDICAL CENTER DR, Slidell, LA 70461
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Other Identifiers 4

Medicaid1313491LA
Medicare ID-Type Unspecified50847
Medicare UPINB89382
Medicare PIN50847CC11LA

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.

HA NINH O.D.
Optometrist
105 MEDICAL CENTER DR, STE 202
SLIDELL, LA 70461
St. Tammany Parish (985) 639-3777
MRS. JACQUELYN MARIE GOTTARDI FNP-C
Nurse Practitioner (Family)
105 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 639-3777
DR. MARIA DE LOS ANGELES PONS M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
105 MEDICAL CENTER DR, SUITE 306
SLIDELL, LA 70461
St. Tammany Parish (985) 643-3033
KRISTIN RUSSO WHNP-BC
Nurse Practitioner (Women's Health)
105 MEDICAL CENTER DR, SUITE 303
SLIDELL, LA 70461
St. Tammany Parish (985) 661-3591
PATRICK FITZSIMMONS
Physical Medicine & Rehabilitation (Pain Medicine)
105 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 639-3777
ROBERT LOUIS SCHWAB III NP-BC
Nurse Practitioner (Family)
105 MEDICAL CENTER DR
SLIDELL, LA 70461
St. Tammany Parish (985) 639-3777
CRISPIN G. BOLISAY, MD APMC
Internal Medicine (Nephrology)
105 MEDICAL CENTER DR, SUITE 304
SLIDELL, LA 70461
St. Tammany Parish (985) 646-0360
DR. ALLAN QUIBILAN LARCENA MD
Internal Medicine
105 MEDICAL CENTER DR, SUITE 301
SLIDELL, LA 70461
St. Tammany Parish (985) 646-0123

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 Crispin Bolisay's NPI number?

The NPI number for Crispin Bolisay is 1316902737. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Crispin Bolisay located?

Crispin Bolisay practices at 105 Medical Center Dr Suite 304, Slidell, LA 70461. The listed phone number is (985) 646-0360.

What is Crispin Bolisay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Crispin Bolisay was last updated on December 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.