DR. KENNETH JAMES SULLIVAN-BOL (D.C.) – Chiropractor, NPI 1679529788

DR. KENNETH JAMES SULLIVAN-BOL (D.C.) is a healthcare provider. based in Bennington, Vermont. specializing in CHIROPRACTIC, PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.C.. They hold a License No. 38-009348 (IL). The NPI Number for DR. KENNETH JAMES SULLIVAN-BOL (D.C.) is 1679529788

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. KENNETH JAMES SULLIVAN-BOL (D.C.)
NPI
1679529788
Phone
(802) 753-7930
Address
345 ELM ST
Enumeration Date
26 May 2006
Last Update Date
24 April 2024

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
8027537930
Graduation Year
2001 (25 years ago)
PAC ID
3173515020
Group Practice PAC ID
3870757610
Professional Enrollment ID
I20100313000049
Address ID
VT052012265BE345XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

130 CHIROPRACTIC in VT

Provider Addresses for DR. KENNETH JAMES SULLIVAN-BOL (D.C.)

  • 345 ELM ST

    BENNINGTON, VT 052012265

    Phone: (802) 753-7930

    Fax: (802) 753-7924

    Type: Mailing

  • 2357, Hassell Road, Hoffman Estates, Schaumburg Township, Cook County, Illinois, 60169, United States

    SUITE 204

    HOFFMAN ESTATES, IL 601692172

    Phone: (847) 839-8888

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100313000049IChiropracticVTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions31257$0
98942Chiropractic manipulative treatment, 5 spinal regions25544$0
98940Chiropractic manipulative treatment, 1-2 spinal regions1514$0
View full utilization report →

Insurance plans in this area (ZIP 05201)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3870757610View full group profile
NameSpecialtyState
C H I R O P R A C T I CVT
Physical Therapist In Private PracticeVT
-VT

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Frequently asked questions

What NPI should I save for DR. KENNETH JAMES SULLIVAN-BOL (D.C.)?
Save NPI 1679529788 if you need a stable reference for DR. KENNETH JAMES SULLIVAN-BOL (D.C.).
Is DR. KENNETH JAMES SULLIVAN-BOL (D.C.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. KENNETH JAMES SULLIVAN-BOL (D.C.)'s specialty in plain language?
Clinically, the directory lists DR. KENNETH JAMES SULLIVAN-BOL (D.C.) with Chiropractor. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. KENNETH JAMES SULLIVAN-BOL (D.C.)?
The page summarizes Bennington, Vermont for DR. KENNETH JAMES SULLIVAN-BOL (D.C.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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