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

Madhav Bole, MD

Individual provider Family Medicine Physician · NPI 1104506880

Madhav Bole, MD is a General Practice in New York, New York. Qualified in 2019, 7 years ago. Practices with Bronx Medical Practice PC, a 136-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
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

1249 5th Ave
New York, NY 10029-4413
Phone: (212) 360-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 324454 (NY)

Record details

NPI number1104506880
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 11, 2024
Certification dateJuly 11, 2024

Medicare enrollment

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

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Bronx Medical Practice Pc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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