Bolivar OB/GYN – Obstetrics & Gynecology Physician, NPI 1720402175

Bolivar OB/GYN is a healthcare provider. based in Bolivar, Missouri. specializing in Obstetrics & Gynecology Physician. The organization holds a License No. 2013021740 (MO). The NPI Number for Bolivar OB/GYN is 1720402175

Main info

Organization
Name
Bolivar OB/GYN
NPI
1720402175
Phone
(417) 777-8131
Address
1165 N BUTTERFIELD RD
Authorized Official
MRS. DEBRA R VOLCKO BUSINESS MANAGER MT(ASCP) CSC, COBGC
Enumeration Date
5 February 2014
Last Update Date
5 February 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness80
Years active:12State licenses:1Digital endpointsUpdated within 12 months

Provider Addresses for Bolivar OB/GYN

  • 1165 N BUTTERFIELD RD

    SUITE B

    BOLIVAR, MO 656131056

    Phone: (417) 777-8131

    Fax: (417) 777-8892

    Mailing address matches the actual address.

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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65613)

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Reviews

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Frequently asked questions

Does Bolivar OB/GYN have a public NPI I can cite?
Public records show Bolivar OB/GYN under NPI 1720402175.
Should I treat Bolivar OB/GYN as an active provider?
Patients and plans typically see Bolivar OB/GYN as active in the national extract.
What services align with Bolivar OB/GYN's listing?
Bolivar OB/GYN's public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Bolivar OB/GYN?
Bolivar OB/GYN shows a connection to Bolivar, Missouri in registry-derived data.
Can I export Bolivar OB/GYN's record?
You can download the official NPPES record; we summarize key fields for readability.

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