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John Bolden M.D. S.C.

Infectious Disease Physician in Morris, IL · enumerated 2007 · authorized official John Bolden, Owner.

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

National Provider Identifier

1891977294

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Registry record

Entity type Organization (Type 2)
Legal business name John Bolden M.D. S.C.
Practice address 114 W Waverly St, Morris, IL, 60450
Enumeration date Nov 28, 2007
Last updated in NPPES Feb 3, 2011

Taxonomy & classification

207RI0200X Infectious Disease Physician Allopathic & Osteopathic Physicians · License 036106844 (IL) Primary

Authorized official

Name John Bolden
Title Owner

Other identifiers

Identifier Type State Issuer
DE2561 Other IL PALMETTO RR MEDICARE
03232029 Other IL BLUE CROSS BLUE SHIELD
036106844 Medicaid IL -

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.

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Frequently asked questions

What is the NPI number for John Bolden M.D. S.C.?
The NPI for John Bolden M.D. S.C. is 1891977294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for John Bolden M.D. S.C.?
NPPES lists John Bolden (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-02-03.