SIDNEY JEFFERSON BOLCH M.D. NPI 1639177595

NPI Information

  • NPI: 1639177595
  • Provider Name: SIDNEY JEFFERSON BOLCH, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1326 EISENHOWER DR
    BLDG. 2
    SAVANNAH, GA
    ZIP 31406
  • Phone: (912) 527-5300

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NPI Details

Sidney Jefferson Bolch, M.D. is a cardiovascular disease internal medicine in Savannah, GA with 52 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Sidney Jefferson Bolch, M.D. NPI is 1639177595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

1326 EISENHOWER DR
BLDG. 2
SAVANNAH, GA
ZIP 31406-928
Phone: (912) 527-5300
Fax: (912) 527-5149

The NPI 1639177595 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician (HCPCS:93016)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring (HCPCS:93270)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Ultrasound of heart during rest, exercise and/or drug-induced stress with report (HCPCS:93350)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Ultrasound of heart, follow-up (HCPCS:93308)

The enumeration date for this NPI number is 7/13/2005 and was last updated on 6/25/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease016876GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000176712AAMEDICAIDGEORGIA
206BDGVNMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3G16876MEDICAIDSOUTH CAROLINA
4000176712ZMEDICAIDGEORGIA
5D44884MEDICARE UPIN
6000176712RMEDICAIDGEORGIA
7000932412BMEDICAIDGEORGIA
8060065859OTHERGEORGIARR MEDICARE
9000176712CMEDICAIDGEORGIA
10082552OTHERGEORGIABCBS
11000932412AMEDICAIDGEORGIA

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: 11/21/2025

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