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

Gordon Bolles, NP

Individual provider Adult Health Nurse Practitioner · NPI 1013538461

Gordon Bolles, NP is a Nurse Practitioner in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Buffalo Medical Group, PC, a 236-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

100 High St
Buffalo, NY 14203-1126
Phone: (716) 859-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 565 Abbott Rd, Buffalo, NY 14220-2095 — (716) 826-7000
  • 2605 Harlem Rd, Cheektowaga, NY 14225-4018 — (716) 891-2400

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 309573 (NY)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 309573 (NY)

Record details

NPI number1013538461
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 27, 2020
Last updated in NPPESJanuary 21, 2021
Certification dateJanuary 21, 2021
Mailing address425 Essjay Rd Ste 170, Williamsville, NY 14221-8235

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Buffalo Medical Group, P.C. — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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