EXCLUDEDPROVIDER
Individual Revocation

Edwin R Jr Bolton

Derby Line, VT 05830

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Edwin R Jr Bolton of Derby Line, VT is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 2, 1997.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Derby Line, VT 05830
Exclusion date
June 2, 1997
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Edwin R Jr Bolton appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Derby Line, Vermont. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is June 2, 1997, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJune 2, 1997
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
UPIND78516
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Derby Line, VT 05830. The listed provider category is Medical Practice, MD. The listed specialty is General Practice / FP.

Other excluded providers in Derby Line, VT

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Derby Line, VT address.

Gretchen E Lewis Individual Program Crime
Derby Line, VT · Conviction of program-related crimes · Excluded Jul 2025

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

More Excluded Individuals in Vermont More Records in Derby Line More Revocation Records