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

Michael Todd Bolton, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487864708

Michael Todd Bolton, MD is an Emergency Medicine in Baton Rouge, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2004, 22 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
22
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8200 Constantin Blvd Fl 4
Baton Rouge, LA 70809-3481
Phone: (225) 765-5500
Fax: (225) 765-1202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Infectious Diseases Physician (primary) Taxonomy 2080P0208X · Licence MD.200870 (LA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487864708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Also practisesINFECTIOUS DISEASE
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2004 (22 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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