Edgar B Bolton DO PA
NPI 1790122778 · Pulmonary Disease Physician · Fort Lauderdale, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edgar B Bolton DO PA is a Pulmonary Disease Physician organization in Fort Lauderdale, FL (NPI 1790122778).
Provider details
- NPI number
- 1790122778
- Entity type
- Organization
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edgar Bolton, President(954) 445-1754
- License
- OS 2458 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-05-30
- Last updated
- 2013-11-06
Frequently asked questions
- What is Edgar B Bolton DO PA's NPI number?
- Edgar B Bolton DO PA's National Provider Identifier (NPI) is 1790122778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edgar B Bolton DO PA?
- Edgar B Bolton DO PA is classified in the NPPES registry as Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Edgar B Bolton DO PA located?
- Edgar B Bolton DO PA's practice location on file with NPPES is 1512 Se 10th St, Fort Lauderdale, FL 33316-1420.
- What is Edgar B Bolton DO PA's phone number?
- The practice phone number listed in the NPPES registry for Edgar B Bolton DO PA is (954) 445-1754.
- Does Edgar B Bolton DO PA accept Medicare?
- Edgar B Bolton DO PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edgar B Bolton DO PA?
- The authorized official listed on Edgar B Bolton DO PA's NPPES record is Edgar Bolton, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edgar B Bolton DO PA's NPI active?
- Yes — Edgar B Bolton DO PA's NPI (1790122778) is active in the NPPES registry as of the last update on 2013-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.