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DR. MARK EDWIN BOLTON PH.D., M.D.
NPI 1902999592
Radiology - Therapeutic Radiology in Grand Island, NE

Active since October 02, 2006
2116 W FAIDLEY AVE., DEPARTMENT OF RADIATION THERAPY, GRAND ISLAND, NE 68802(308) 398-5450(308) 398-5351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mark Edwin Bolton Ph.d., M.d. NPPES

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

DR. MARK EDWIN BOLTON PH.D., M.D. (NPI 1902999592) is an individual therapeutic radiology provider in Grand Island, Nebraska, licensed in Nebraska (18773) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1902999592
Entity TypeIndividualMale
Primary Taxonomy2085R0203X
Provider Legal NameDR. MARK EDWIN BOLTONCredential: PH.D., M.D.
Location Address2116 W FAIDLEY AVE., DEPARTMENT OF RADIATION THERAPYGrand Island, NE 68802-9804
Mailing Address2116 W Faidley Ave., Department Of Radiation TherapyGrand Island, NE 68802-9804 · (308) 398-5450 · Fax (308) 398-5351
Phone(308) 398-5450
Fax(308) 398-5351
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1902999592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Therapeutic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0203X
License✔ Licensed in NE · 18773
Definition

Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.

2116 W FAIDLEY AVE., Grand Island, NE 68802
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Other Identifiers 3

Medicare UPINF25594NE
Medicaid10025024800NE
Medicare ID-Type Unspecified276835NE

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 Mark Bolton's NPI number?

The NPI number for Mark Bolton is 1902999592. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Mark Bolton located?

Mark Bolton practices at 2116 W Faidley Ave. Department Of Radiation Therapy, Grand Island, NE 68802. The listed phone number is (308) 398-5450.

What is Mark Bolton's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Therapeutic Radiology, with taxonomy code 2085R0203X.

When was this NPI record last updated?

The NPPES record for Mark Bolton was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.