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DR. BRIAN MICHAEL BOLDT D.O. NPI 1144480245


NPI Information

NPI: 1144480245
Provider Name: DR. BRIAN MICHAEL BOLDT, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: AMERICAN DIAGNOSTICS SERVICES LLC

PECOS Registration: Yes

Address:
MADIGAN ARMY MEDICAL CTR DEPARTMENT OF
9040 FITZSIMMONS DRIVE
TACOMA, WA
ZIP 98431
Phone: (253) 968-5604
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DR. Brian Michael Boldt, D.O. is a diagnostic radiology radiology in Tacoma, WA with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brian Michael Boldt, D.O. NPI is 1144480245. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MADIGAN ARMY MEDICAL CTR DEPARTMENT OF
9040 FITZSIMMONS DRIVE
TACOMA, WA
ZIP 98431-001
Phone: (253) 968-5604

The NPI 1144480245 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 3/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyOP60104328WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.