DR. JEREMY TYLER BOLIN MD
NPI 1023471174
Surgery - Vascular Surgery in Fort Sam Houston, TX
About Dr. Jeremy Tyler Bolin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY TYLER BOLIN MD (NPI 1023471174) is an individual vascular surgery provider in Fort Sam Houston, Texas, licensed in California (A151508) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeremy Tyler Bolin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78234 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Bolin's NPI number?
The NPI number for Jeremy Bolin is 1023471174. It was assigned to this individual provider in the NPPES registry on April 5, 2016.
Where is Jeremy Bolin located?
Jeremy Bolin practices at 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234. The listed phone number is (210) 539-9582.
What is Jeremy Bolin's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Jeremy Bolin enrolled in Medicare?
Yes. Jeremy Bolin is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jeremy Bolin was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jeremy Tyler Bolin, MD · NPI 1023471174
Vascular Surgery physician in Fort Sam Houston, Texas. Individual provider, active in the CMS NPPES registry since April 5, 2016.
## Identity
- **NPI:** 1023471174 (Entity type: Individual)
- **Enumerated:** April 5, 2016
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** A151508 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3551 ROGER BROOKE DR, Fort Sam Houston, TX 78234-4504
- **Phone:** (210) 539-9582
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1023471174) · Data from the CMS NPPES public registry.