EDGAR B BOLTON JR. DO
NPI 1487635462
Internal Medicine - Pulmonary Disease in Pembroke Pines, FL

Q: What is Edgar Bolton's NPI number?

The NPI number for Edgar Bolton is 1487635462. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Edgar Bolton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Bolton was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 November 08, 2005PECOS Enrolled

1900 N UNIVERSITY DR, SUITE 107, PEMBROKE PINES, FL 33024(954) 441-1616(954) 766-8199 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Edgar B Bolton Jr. Do NPPES

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

EDGAR B BOLTON JR. DO (NPI 1487635462) is an individual pulmonary disease provider in Pembroke Pines, Florida, licensed in Florida (OS2458) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487635462

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameEDGAR B BOLTON JR.Credential: DO

Location Address1900 N UNIVERSITY DR, SUITE 107Pembroke Pines, FL 33024-3618

Mailing Address1512 Se 10th StFort Lauderdale, FL 33316-1420 · (954) 445-1754 · Fax (954) 766-8199

Phone(954) 441-1616

Fax(954) 766-8199

Sole ProprietorYes

Enumeration DateNovember 8, 2005

Last NPPES UpdateFebruary 11, 2016

✔ NPI 1487635462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in FL · OS2458

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

1900 N UNIVERSITY DR, Pembroke Pines, FL 33024

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Other Identifiers 4

Medicare UPINE12175

Medicaid037708200FL

OtherHF850AFL · Medicare Ptan

Medicare ID-Type Unspecified81981

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar B Bolton Jr. Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

DR. IAN SHANE FONG D.D.S.

Dentist (General Practice)

1900 N UNIVERSITY DR, STE 201
PEMBROKE PINES, FL 33024

Broward County (954) 432-8992

A & R RESEARCH GROUP LLC

Specialist (Research Study)

1900 N UNIVERSITY DR, SUITE NUMBER 110
PEMBROKE PINES, FL 33024

Broward County (954) 447-9316

MELVYN H. RECH, D.O., P.A.

Orthopaedic Surgery

1900 N UNIVERSITY DR, SUITE 107
PEMBROKE PINES, FL 33024

Broward County (954) 441-1616

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 Edgar Bolton's NPI number?

The NPI number for Edgar Bolton is 1487635462. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Edgar Bolton located?

Edgar Bolton practices at 1900 N University Dr Suite 107, Pembroke Pines, FL 33024. The listed phone number is (954) 441-1616.

What is Edgar Bolton's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Edgar Bolton enrolled in Medicare?

Yes. Edgar Bolton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Bolton was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.