Dr Mark Edwin Bolton, PHD, MD - Radiology in Grand Island, NE

Dr Mark Edwin Bolton, PHD, MD is a Radiology - Therapeutic Radiology physician based in Grand Island, Nebraska. Dr Mark Edwin Bolton is licensed to practice in Nebraska (license number 18773) and his current practice location is 2116 W Faidley Ave., Department Of Radiation Therapy, Grand Island, Nebraska. He can be reached at his office (for appointments etc.) via phone at (308) 398-5450.

NPI number for Dr Mark Edwin Bolton is 1902999592 and his current mailing address is 2116 W Faidley Ave., Department Of Radiation Therapy, Grand Island, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902999592.

Contact Information

Dr Mark Edwin Bolton, PHD, MD
2116 W Faidley Ave., Department Of Radiation Therapy,
Grand Island, NE 68802-9804
(308) 398-5450
(308) 398-5351

Map and Direction




Physician's Profile

Full NameDr Mark Edwin Bolton
GenderMale
SpecialityRadiology - Therapeutic Radiology
Location2116 W Faidley Ave., Grand Island, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1902999592
  • Provider Enumeration Date: 10/02/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Mark Edwin Bolton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902999592NPI-NPPES
10025024800MedicaidNE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0203XRadiology - Therapeutic Radiology 18773 (Nebraska)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Edwin Bolton is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Edwin Bolton, PHD, MD
2116 W Faidley Ave., Department Of Radiation Therapy,
Grand Island, NE 68802-9804

Ph: (308) 398-5450
Dr Mark Edwin Bolton, PHD, MD
2116 W Faidley Ave., Department Of Radiation Therapy,
Grand Island, NE 68802-9804

Ph: (308) 398-5450

Reviews and Comments


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