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

Dr. Reginald Mbolda, MD

Individual provider Family Medicine Physician · NPI 1467934554

Dr. Reginald Mbolda, MD is a Family Practice in Bloomsburg, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
Specialties on file
2
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

549 Fair St
Bloomsburg, PA 17815-1419
Phone: (570) 387-2011
Fax: (570) 387-2240
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD478397 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MT217111 (PA)

Record details

NPI number1467934554
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 5, 2018
Last updated in NPPESAugust 19, 2022
Certification dateAugust 19, 2022
Mailing address100 N Academy Ave, Danville, PA 17822-4903

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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