John Bolden M.D. S.C.
John Bolden M.D. S.C. is a healthcare organization registered as Infectious Disease Physician in Morris, IL, holding Type 2 (organization) NPI 1891977294 since 2007. The authorized official on file is John Bolden, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891977294 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John Bolden M.D. S.C. |
| Practice address | 114 W WAVERLY ST, Morris, IL, 60450 |
| Phone | 7083490055 |
| Enumeration date | 2007-11-28 |
| Last updated in NPPES | 2011-02-03 |
Authorized official
| Name | John Bolden |
|---|---|
| Title | Owner |
| Phone | 7083490055 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RI0200X | Infectious Disease Physician | Primary | 036106844 | IL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE2561 | Other | IL | PALMETTO RR MEDICARE |
| 03232029 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036106844 | Medicaid | IL | — |
Copy-ready billing details
Provider: John Bolden M.D. S.C. NPI: 1891977294 Taxonomy: 207RI0200X (Infectious Disease Physician) Address: 114 W WAVERLY ST, Morris, IL, 60450
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891873113 | Olga Peplos | Individual | Internal Medicine Physician | Morris, IL |
| 1699853911 | Olga M Peplos MD PC | Organization | Internal Medicine Physician | Morris, IL |
| 1376896506 | Kucinski Medical Ltd | Organization | Internal Medicine Physician | Morris, IL |
Verify this record
Cross-check NPI 1891977294 against the authoritative CMS record: view John Bolden M.D. S.C. on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for John Bolden M.D. S.C.?
Who is the authorized official for John Bolden M.D. S.C.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-02-03.