Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Ellis Bolton, PA-C

Individual provider Surgical Physician Assistant · NPI 1548147390

Brandon Ellis Bolton, PA-C is a Physician Assistant in Winston Salem, North Carolina. Graduated from Wake Forest University School of Medicine in 2025, 1 year ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
1
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

131 Miller St
Winston Salem, NC 27103-2508
Phone: (336) 716-8200
Fax: (336) 716-9841
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Medical Center Blvd, Winston Salem, NC 27157-0001 — (336) 716-8200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-15658 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 001015658 (NC)

Record details

NPI number1548147390
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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