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

Individual provider Internal Medicine Physician · NPI 1922233873

Carla Prince Bolivar, MD is an Internal Medicine in Farmington, Missouri. Qualified in 2001, 25 years ago. Practices with Saint Francis Medical Center, a 441-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
25
Licensed in
MO
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

515 Maple Valley Dr
Farmington, MO 63640-1919
Phone: (573) 760-7920
Fax: (573) 756-9597
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2009022078 (MO)

Record details

NPI number1922233873
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESMarch 9, 2021
Certification dateMarch 9, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Saint Francis Medical Center — 441 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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