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

Jose Miguel Bolanos Rivera, MD

Individual provider Family Medicine Physician · NPI 1629764287

Jose Miguel Bolanos Rivera, MD is a Family Practice in Nampa, Idaho. Qualified in 2016, 10 years ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2023
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

9850 W St Lukes Dr Ste 290
Nampa, ID 83687-7912
Phone: (208) 463-7300
Fax: (208) 463-7301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 E Hawaii Ave # 140, Nampa, ID 83686-6011 — (208) 514-2529

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6771731 (ID)

Record details

NPI number1629764287
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2023
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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