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Deactivated NPI 1710174743 Deactivated / Inactive NPI Male Practitioner

Dr. Robert T Bolen , DC

Chiropractor • Lawrenceville, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Bolen has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 03, 2007
NPI Deactivation Date October 16, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Bolen, DC was a registered Chiropractor practicing in Lawrenceville, GA. Throughout an active medical career spanning 11 years, Dr. Bolen provided care at the practice location at 78 SCENIC HWY until profile deactivation on 2018-10-16.

Historical Medicare Part B clinical services included chiropractic manipulative treatment, 3-4 spinal regions, chiropractic manipulative treatment, 1-2 spinal regions. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

78 Scenic Hwy

Lawrenceville, GA 300455729

Telephone 7705131591
Fax 7705130221
Associated Practice Facility / Clinic
🏢 Bolen Chiropractic, Inc. Facility NPI 1609951722

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Lawrenceville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.5 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
59 Specialists

Practicing in Lawrenceville, GA (3375 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
3.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
98941 Chiropractic manipulative treatment, 3-4 spinal regions
287 48 $32.65 $31.89
98940 Chiropractic manipulative treatment, 1-2 spinal regions
85 29 $24.48 $23.21

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License GA 001396

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1326426537

BSC, Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 16, 2018

Record deactivated on October 16, 2018

NPI Profile Active October 03, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 03, 2007

Registered at 78 SCENIC HWY, LAWRENCEVILLE, GA 300455729 (Tel: 7705131591)

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Updated Business Mailing Address October 03, 2007

Registered at 78 SCENIC HWY, LAWRENCEVILLE, GA 300455729 (Tel: 7705131591)

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Provider Name / Credentials Updated October 03, 2007

Recorded as ROBERT BOLEN, D.C.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2007

Chiropractor (License #001396 in GA)

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Initial NPI Registration & Enumeration October 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710174743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2007
Last Update: October 03, 2007
Deactivation Date: October 16, 2018

Mailing Address

78 Scenic Hwy

Lawrenceville, GA 300455729

Phone: 7705131591

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.