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

Mr. Jordan Bolan

Individual provider Athletic Trainer · NPI 1932577905

Mr. Jordan Bolan is an Athletic Trainer in Columbia, South Carolina. Practices as a sole proprietor. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2

Practice location Address checks out

1319 Dover St
Columbia, SC 29201-4463
Phone: (585) 645-7824
Show map & directions

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
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1932577905
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 9, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address1319 Dover St, Columbia, SC 29201-4463

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