IndividualActive
Edgar Bolton, DO
NPI 1487635462 · Pulmonary Disease Physician · Pembroke Pines, FL
Provider details
- NPI number
- 1487635462
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- OS2458 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1900 N University Dr
Suite 107
Pembroke Pines, FL 33024-3618
Phone: (954) 441-1616
Fax: (954) 766-8199
Street-level locationGet directions
Mailing address
1512 Se 10th St
Fort Lauderdale, FL 33316-1420
Registry dates
- Enumerated
- 2005-11-08
- Last updated
- 2016-02-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.