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

Crispin G. Bolisay, MD

Individual provider Nephrology Physician · NPI 1316902737

Crispin G. Bolisay, MD is a Nephrology Physician in Slidell, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2006
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

105 Medical Center Dr Ste 304
Slidell, LA 70461-5544
Phone: (985) 646-0360
Fax: (985) 646-0362
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 05389R (LA)

Record details

NPI number1316902737
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 19, 2006
Last updated in NPPESDecember 30, 2008
Mailing address105 Medical Center Dr, Suite 304, Slidell, LA 70461-5544

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