Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Randall J. Bolar, M.D.

Surgery Physician in Detroit Lakes, MN · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1558323246

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Registry record

Entity type Individual (Type 1)

Name Randall J. Bolar

Credential M.D.

Sex Male

Practice address 1027 Washington Ave, Detroit Lakes, MN, 56501

Phone (218) 847-5611

Fax (218) 847-0881

Enumeration date Apr 6, 2006

Last updated in NPPES Dec 23, 2015

Taxonomy & licenses

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 34949 (TN) Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 36945 (MN) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1515147	Medicaid	TN	-
TN0125	Other	TN	AMERICHOICE
203500913011	Other	TN	TRICARE
000000069481	Other	KY	ANTHEM BC
10802394	Other	-	CAQH
1558323246	Medicaid	MN	-
01281517	Other	TN	AMERIGROUP
4221186	Other	TN	BCBS
64357130	Medicaid	KY	-
7774037	Other	KY	AETNA
3338849	Medicaid	TN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Randall Bolar?

The National Provider Identifier (NPI) for Randall Bolar is 1558323246, a Type 1 (individual) record in the CMS NPPES registry.

Where does Randall Bolar practice?

The practice location on file with NPPES is in Detroit Lakes, MN. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-12-23.