DR. PAUL BOLGER
NPI 1376516609
Emergency Medicine in Rock Island, IL

Active since February 08, 2006Opted out of Medicare · through Jan 1, 2028
2701 17TH ST, ROCK ISLAND, IL 61201(309) 779-5000 Get Directions Write a Review

NPPES record last updated: October 20, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Bolger NPPES

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

DR. PAUL BOLGER (NPI 1376516609) is an individual emergency medicine provider in Rock Island, Illinois and active in the NPI registry since February 2006. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1376516609
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. PAUL BOLGER
Location Address2701 17TH STRock Island, IL 61201-5351
Mailing Address2701 17th StRock Island, IL 61201-5351 · (309) 779-5000
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 20, 2007
NPI 1376516609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

2701 17TH ST, Rock Island, IL 61201

Other Identifiers 9

OtherP00040958Rr Medicare
Other98356IL · Bc Wellmark West
Medicaid2571026IL
Medicaid036100563008IL
Medicaid0571026IL
OtherIL0181IL · John Deere
Other98357IL · Bc Wellmark 7th
Medicare ID-Type UnspecifiedL99417IL · Medicare Individual
Medicare UPINH04485

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Paul Bolger has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2018 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2018
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201
Anesthesiology
2701 17TH ST
ROCK ISLAND, IL 61201

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 Paul Bolger's NPI number?

The NPI number for Paul Bolger is 1376516609. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Paul Bolger located?

Paul Bolger practices at 2701 17th St, Rock Island, IL 61201. The listed phone number is (309) 779-5000.

What is Paul Bolger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Paul Bolger enrolled in Medicare?

No. Paul Bolger has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Paul Bolger was last updated on October 20, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.