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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1598260200

Ryan Bolton, MD is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2018
Specialties on file
2
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

1400 Pelham Pkwy S
Bronx, NY 10461-1197
Phone: (718) 696-2583
Fax: (718) 881-5074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 696-2583

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 302445 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1598260200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2018
Last updated in NPPESMarch 26, 2020
Certification dateMarch 26, 2020
Mailing address240 Marlborough St Apt 8, Boston, MA 02116-1735

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