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

Luis Bolanos, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1023647666

Luis Bolanos, DO is a Student in an Organized Health Care Education/Training Program in Burlington, Vermont. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

111 Colchester Ave
Burlington, VT 05401-1473
Phone: (802) 847-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1023647666
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2020
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023
Mailing address111 Colchester Ave, Burlington, VT 05401-1473

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