Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BRANDON FORREST BOLDT MD
NPI 1073019261
Internal Medicine - Sports Medicine in Cedar Rapids, IA

Q: What is Brandon Boldt's NPI number?

The NPI number for Brandon Boldt is 1073019261. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Q: What is Brandon Boldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Q: When was this NPI record last updated?

The NPPES record for Brandon Boldt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.

Active since April 05, 2018PECOS Enrolled

202 10TH ST SE, CEDAR RAPIDS, IA 52403(319) 398-1545(877) 303-8768 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Mar 16, 2023, Sep 13, 2021 (3 updates tracked since 2021).

On this page

About Brandon Forrest Boldt Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON FORREST BOLDT MD (NPI 1073019261) is an individual sports medicine provider in Cedar Rapids, Iowa, licensed in Iowa (MD-46469) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073019261

Entity TypeIndividualMale

Primary Taxonomy207RS0010X

Provider Legal NameBRANDON FORREST BOLDTCredential: MD

Location Address202 10TH ST SECedar Rapids, IA 52403-2414

Mailing Address202 10th St SeCedar Rapids, IA 52403-2414 · (319) 398-1545 · Fax (877) 303-8768

Phone(319) 398-1545

Fax(877) 303-8768

Sole ProprietorNo

Enumeration DateApril 5, 2018

Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration

NPPES CertifiedJuly 15, 2026

✔ NPI 1073019261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0010X

License✔ Licensed in IA · MD-46469

Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.

202 10TH ST SE, Cedar Rapids, IA 52403

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Forrest Boldt Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$50.42 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$26.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. MELANIE LUCILLE GIESLER-SPELLMAN D.O

Otolaryngology (Otolaryngology/Facial Plastic Surgery)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 399-2022

BOOTHAPURI VENKATESH MD

Internal Medicine (Cardiovascular Disease)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

DR. LOUIS CHARLES KEILER III M.D.

Radiology (Radiation Oncology)

202 10TH ST SE, SUITE 195
CEDAR RAPIDS, IA 52403

Linn County (319) 558-4876

NICOLE M PRUCHNO ARNP

Nurse Practitioner (Family)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 297-2900

HARINDER SINGH MD

Internal Medicine (Rheumatology)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 398-1546

HISHAM WAGDY MD

Internal Medicine (Interventional Cardiology)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

CARDIOLOGISTS LC

Internal Medicine (Cardiovascular Disease)

202 10TH ST SE, SUITE 225
CEDAR RAPIDS, IA 52403

Linn County (319) 364-7101

FRANKIE L DUNBAR ARNP

Nurse Practitioner (Family)

202 10TH ST SE
CEDAR RAPIDS, IA 52403

Linn County (319) 398-1721

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 Brandon Boldt's NPI number?

The NPI number for Brandon Boldt is 1073019261. It was assigned to this individual provider in the NPPES registry on April 5, 2018.

Where is Brandon Boldt located?

Brandon Boldt practices at 202 10th St SE, Cedar Rapids, IA 52403. The listed phone number is (319) 398-1545.

What is Brandon Boldt's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Brandon Boldt enrolled in Medicare?

Yes. Brandon Boldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Boldt was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.