DR. KENNETH JAMES SULLIVAN-BOL D.C.
NPI 1679529788
Chiropractor in Bennington, VT

Q: What is Kenneth Sullivan-bol's NPI number?

The NPI number for Kenneth Sullivan-bol is 1679529788. It was assigned to this individual provider in the NPPES registry on May 26, 2006. The provider is also known as Dr. Kenneth James Sullivan-Bol D.C..

Q: What is Kenneth Sullivan-bol's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment

345 ELM ST, BENNINGTON, VT 05201(802) 753-7930(802) 753-7924 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Kenneth James Sullivan-bol D.c. NPPES

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

DR. KENNETH JAMES SULLIVAN-BOL D.C. (NPI 1679529788) is an individual chiropractor in Bennington, Vermont, licensed in Vermont (006.0061495) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of National College Of Chiropractic (2001).

NPPES Registry Identity

NPI1679529788

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. KENNETH JAMES SULLIVAN-BOLCredential: D.C.

Location Address345 ELM STBennington, VT 05201-2265

Mailing Address345 Elm StBennington, VT 05201-2265 · (802) 753-7930 · Fax (802) 753-7924

Phone(802) 753-7930

Fax(802) 753-7924

Sole ProprietorNo

Medical School CMSNational College Of ChiropracticGraduated 2001

Enumeration DateMay 26, 2006

Last NPPES UpdateApril 24, 2024

NPPES CertifiedApril 24, 2024

✔ NPI 1679529788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

Licenses✔ Licensed in VT · 006.0061495✔ Licensed in IL · 38-009348

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Also ListedPhysical Therapist · OrthopedicTaxonomy 2251X0800X · License 006.0061495 (VT)

345 ELM ST, Bennington, VT 05201

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Other Names 1

Professional Name (2)Dr. Kenneth James Sullivan-bol D.c.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenneth James Sullivan-bol D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173515020

PECOS Enrollment IDI20100313000049

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942

Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.

246 services45 patients

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

196 services46 patients

Other Providers at the Same Location NPPES 8

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

EMMA WATTS

Chiropractor