DR. JOHN P BOLGER PH.D.
NPI 1891725024
Clinical Neuropsychologist in Mt Pleasant, SC

Q: What is John Bolger's NPI number?

The NPI number for John Bolger is 1891725024. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is John Bolger's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for John Bolger was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 04, 2006PECOS Enrolled

1305 WILD OLIVE DR, MT PLEASANT, SC 29464(910) 987-7285 Get Directions Write a Review

NPPES record last updated: April 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. John P Bolger Ph.d. NPPES

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

DR. JOHN P BOLGER PH.D. (NPI 1891725024) is an individual clinical neuropsychologist in Mt Pleasant, South Carolina, licensed in Ohio (4800) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891725024

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameDR. JOHN P BOLGERCredential: PH.D.

Location Address1305 WILD OLIVE DRMt Pleasant, SC 29464-7478

Mailing Address1305 Wild Olive DrMt Pleasant, SC 29464-7478 · (910) 987-7285

Phone(910) 987-7285

Sole ProprietorYes

Enumeration DateJuly 4, 2006

Last NPPES UpdateApril 4, 2019

✔ NPI 1891725024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in OH · 4800

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License 4800 (OH)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4800 (OH)

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License 4800 (OH)

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License 4800 (OH)

1305 WILD OLIVE DR, Mt Pleasant, SC 29464

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John P Bolger Ph.d. 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.

Other Providers at the Same Location NPPES

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

JOHN P BOLGER PHD LLC

Clinical Neuropsychologist

1305 WILD OLIVE DR
MT PLEASANT, SC 29464

Charleston County (910) 987-7285

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 John Bolger's NPI number?

The NPI number for John Bolger is 1891725024. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is John Bolger located?

John Bolger practices at 1305 Wild Olive Dr, Mt Pleasant, SC 29464. The listed phone number is (910) 987-7285.

What is John Bolger's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is John Bolger enrolled in Medicare?

Yes. John Bolger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Bolger was last updated on April 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.