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

Dr. Traci M Bologna-Jill, DPM

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346746062

Dr. Traci M Bologna-Jill, DPM is a Podiatry in Providence, Rhode Island. Graduated from New York College of Podiatric Medicine in 2018, 8 years ago. Practices with Lepoer Podiatry, Inc, a 2-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Trained at
New York College of Podiatric Medicine
Licensed in
RI
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Providence, RI
Fax: (401) 253-2002

No coordinates on file. Search this address in Google Maps

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence DPM00367 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346746062
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESDecember 15, 2022
Certification dateDecember 15, 2022

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolNEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduated 2018 (8 years in practice)
Group practice Lepoer Podiatry, Inc. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence