OrganizationActive
Bolivar Medical Clinic
NPI 1720297708 · Family Medicine Physician · Bolivar, TN
Bolivar Medical Clinic is a Family Medicine Physician organization in Bolivar, TN (NPI 1720297708).
Provider details
- NPI number
- 1720297708
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Frost, Doctor(731) 658-7111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
610 Nuckolls Rd
Bolivar, TN 38008-1532
Phone: (731) 658-7111
Fax: (731) 658-4328
Street-level locationGet directions
Mailing address
610 Nuckolls Rd
Bolivar, TN 38008-1532
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2011-02-28
Frequently asked questions
- What is Bolivar Medical Clinic's NPI number?
- Bolivar Medical Clinic's National Provider Identifier (NPI) is 1720297708, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolivar Medical Clinic?
- Bolivar Medical Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bolivar Medical Clinic located?
- Bolivar Medical Clinic's practice location on file with NPPES is 610 Nuckolls Rd, Bolivar, TN 38008-1532.
- What is Bolivar Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Bolivar Medical Clinic is (731) 658-7111.
- Who is the authorized official for Bolivar Medical Clinic?
- The authorized official listed on Bolivar Medical Clinic's NPPES record is Charles Frost, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolivar Medical Clinic's NPI active?
- Yes — Bolivar Medical Clinic's NPI (1720297708) is active in the NPPES registry as of the last update on 2011-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.