Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TIMOTHY A BOLYARD PA C
NPI 1891769063
Physician Assistant in Kingwood, WV

Active since February 15, 2006
411 MORGANTOWN ST, KINGWOOD, WV 26537(304) 329-0555(304) 329-0556 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy A Bolyard Pa C NPPES

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

MR. TIMOTHY A BOLYARD PA C (NPI 1891769063) is an individual physician assistant in Kingwood, West Virginia, licensed in West Virginia (284) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1891769063
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TIMOTHY A BOLYARDCredential: PA C
Location Address411 MORGANTOWN STKingwood, WV 26537
Mailing Address411 Morgantown StKingwood, WV 26537 · (304) 329-0555 · Fax (304) 329-0556
Fax(304) 329-0556
Sole ProprietorNo
Enumeration DateFebruary 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1891769063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WV · 284
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
411 MORGANTOWN ST, Kingwood, WV 26537

Other Identifiers 1

Medicaid1804868000WV

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.

Family Medicine
411 MORGANTOWN ST
KINGWOOD, WV 26537
Nurse Practitioner (Family)
411 MORGANTOWN ST
KINGWOOD, WV 26537
Internal Medicine
411 MORGANTOWN ST
KINGWOOD, WV 26537

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 Timothy Bolyard's NPI number?

The NPI number for Timothy Bolyard is 1891769063. It was assigned to this individual provider in the NPPES registry on February 15, 2006.

Where is Timothy Bolyard located?

Timothy Bolyard practices at 411 Morgantown St, Kingwood, WV 26537. The listed phone number is (304) 329-0555.

What is Timothy Bolyard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Timothy Bolyard was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.