| Christopher H Bolling Jr, MD | |
|
3719 Dauphin Street, Mobile, AL 36608-1753 | |
| (251) 460-0326 | |
| (251) 460-2846 |
| Full Name | Christopher H Bolling Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 3719 Dauphin Street, Mobile, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427478106 | NPI | - | NPPES |
| 249500 | Medicaid | AL | |
| 512-40587 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 34840 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Springhill Medical Center | Mobile, AL | Hospital |
| North Mississippi Medical Center | Tupelo, MS | Hospital |
| Tishomingo Health Services Inc | Iuka, MS | Hospital |
| Webster General Hospital/ Swing Bed | Eupora, MS | Hospital |
| North Mississippi Medical Center-gilmore Amory | Amory, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Springhill Diagnostic Radiologists, P.c. | 0042298978 | 5 |
| Premier Radiology Inc | 2769452242 | 26 |
| Premier Radiology Inc | 2769452242 | 26 |
| Medical Imaging, Llc | 5698731271 | 18 |
| Imaging Center At Gloster Creek Village Pllc | 5991771255 | 20 |
| Entity Name | Springhill Diagnostic Radiologists, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740262476 PECOS PAC ID: 0042298978 Enrollment ID: O20040708000768 |
| Entity Name | Premier Radiology Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083669121 PECOS PAC ID: 2769452242 Enrollment ID: O20060123000851 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher H Bolling Jr, MD P.o. Box 91628, Mobile, AL 36691-1628 Ph: (251) 460-0326 | Christopher H Bolling Jr, MD 3719 Dauphin Street, Mobile, AL 36608-1753 Ph: (251) 460-0326 |
Dr. Jeston Taylor Smith, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Circle, Mobile, AL 36607 Phone: 251-435-2400 | |
Frank James Pitruzzello, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6701 Airport Blvd Bldg B, Mobile, AL 36608 Phone: 251-633-1890 | |
Michael S Lawrence, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 5 Mobile Infirmary Circle, Mobile, AL 36607 Phone: 251-435-2806 | |
Patrick Park Patten, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2451 University Hospital Drive, Mastin 102, Mobile, AL 36617 Phone: 251-470-5890 Fax: 251-471-7925 | |
John P. Brannan Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2451 Fillingim St, Mobile, AL 36617 Phone: 251-471-7150 Fax: 251-471-7008 | |
Paul Richard Billeaud, Radiology Medicare: Accepting Medicare Assignments Practice Location: 2451 Fillingim St, Mastin 315, Mobile, AL 36617 Phone: 251-471-7866 | |
Dr. James Richard Frost, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 6801 Airport Blvd, Mobile, AL 36608 Phone: 251-460-0326 Fax: 251-460-2846 |