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

Dr. Gary Glenn Bolton, MD

Individual provider Dermatology Physician · NPI 1972620797

Dr. Gary Glenn Bolton, MD is a Dermatology in Ridgeland, Mississippi. Graduated from University of Mississippi School of Medicine in 1983, 43 years ago. Practices as a sole proprietor. Licensed in Mississippi.

Years since qualifying
43
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2007
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

305 Highland Park Cv
Ridgeland, MS 39157-6059
Phone: (601) 206-9433
Fax: (601) 206-5428
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 10243 (MS)

Record details

NPI number1972620797
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 25, 2007
Last updated in NPPESApril 4, 2014

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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