MR. BRUCE RICHARD BOLLING MD
NPI 1720195571
Specialist in Winston Salem, NC

Active since August 25, 2006
3001 MAPLEWOOD AVE, WINSTON SALEM, NC 27103(336) 659-9440(336) 659-9845 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Bruce Richard Bolling Md NPPES

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

MR. BRUCE RICHARD BOLLING MD (NPI 1720195571) is an individual specialist in Winston Salem, North Carolina, licensed in North Carolina (592) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1720195571
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. BRUCE RICHARD BOLLINGCredential: MD
Location Address3001 MAPLEWOOD AVEWinston Salem, NC 27103-4020
Mailing Address3001 Maplewood AveWinston Salem, NC 27103-4020 · (336) 659-9440 · Fax (336) 659-9845
Fax(336) 659-9845
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1720195571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NC · 592
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3001 MAPLEWOOD AVE, Winston Salem, NC 27103

Other Identifiers 4

Medicare ID-Type Unspecified2281805ANC · Medicare
Medicare UPIND01215NC
Other127RYNC · Bcbs
Medicaid89127RYNC

Other Providers at the Same Location NPPES 2

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

Technician/Technologist (Optician)
3001 MAPLEWOOD AVE
WINSTON SALEM, NC 27103
Surgery
3001 MAPLEWOOD AVE
WINSTON SALEM, NC 27103

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 Bruce Bolling's NPI number?

The NPI number for Bruce Bolling is 1720195571. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Bruce Bolling located?

Bruce Bolling practices at 3001 Maplewood Ave, Winston Salem, NC 27103. The listed phone number is (336) 659-9440.

What is Bruce Bolling's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bruce Bolling was last updated on July 9, 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.