KODY G. BOLK MD – NPI #1669976023
Otolaryngology

An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases.

KODY BOLK is an otolaryngologist located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1669976023 to KODY BOLK on March 21, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YX0602X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Otolaryngic Allergy

The NPI profile was last updated on Feb 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KODY BOLK below.

NPI Profile for
KODY G. BOLK

NPI Number
1669976023
Enumeration Date

(more than 8 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KODY G. BOLK
Credentials
MD
Primary location
720 N BOND ST
SPRINGFIELD, IL 62702-4952
Phone: (217) 545-8000 Fax: (217) 545-6544
3 Other location(s):
550 Peachtree St NE Ste 1135
Atlanta, GA 30308-2234
Phone: (404) 778-3381
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone: (225) 765-6565
533 Bolivar St Ste 566
New Orleans, LA 70112-1349
Phone: (504) 568-4786
Mailing address
PO BOX 19639
SPRINGFIELD, IL 62794-9639
Phone: (217) 545-8000 Fax:
Sole Proprietor
No
Updated
Certification Date
Feb 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207YX0602X
- Otolaryngology / Otolaryngic Allergy (Primary)
GA 95460
390200000X
- Student in an Organized Health Care Education/Training Program
207Y00000X
- Otolaryngology
IL 036.170483

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2018
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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