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BOLIVAR MEDICAL CLINIC
NPI 1720297708
Family Medicine in Bolivar, TN

Active since May 22, 2007
610 NUCKOLLS RD, BOLIVAR, TN 38008(731) 658-7111(731) 658-4328 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bolivar Medical Clinic NPPES

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

BOLIVAR MEDICAL CLINIC (NPI 1720297708) is a healthcare organization registered as a family medicine in Bolivar, Tennessee and active in the NPI registry since May 2007. The organization lists Charles L Frost, Doctor, as its authorized official.

NPPES Registry Identity

NPI1720297708
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOLIVAR MEDICAL CLINIC
Location Address610 NUCKOLLS RDBolivar, TN 38008-1532
Mailing Address610 Nuckolls RdBolivar, TN 38008-1532 · (731) 658-7111 · Fax (731) 658-4328
Phone(731) 658-7111
Fax(731) 658-4328
Organization SubpartNo
Authorized OfficialCharles L FrostDoctor · (731) 658-7111
Enumeration DateMay 22, 2007
Last NPPES UpdateFebruary 28, 2011
✔ NPI 1720297708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
610 NUCKOLLS RD, Bolivar, TN 38008
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Other Identifiers 3

Other2006653TN · Bluecross Blueshield
Medicare ID-Type Unspecified3720190TN
Medicaid3720190TN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ROBERT WAYNE DUNAVANT M.D.
Family Medicine
610 NUCKOLLS RD
BOLIVAR, TN 38008
Hardeman County (731) 658-7111

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 Bolivar Medical Clinic's NPI number?

The NPI number for Bolivar Medical Clinic is 1720297708. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Bolivar Medical Clinic located?

Bolivar Medical Clinic is located at 610 Nuckolls Rd, Bolivar, TN 38008. The listed phone number is (731) 658-7111.

What is Bolivar Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bolivar Medical Clinic was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.