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

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: October 25, 2026.

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

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 and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2018).

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
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2018
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID8426388398
PECOS Enrollment IDI20260723001770
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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Boldt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physicians' Clinic Of Iowa, PC
Same address
Clinical Medical Laboratory
202 10TH STREET SE
Cedar Rapids, IA 52403
  • Reassigned Medicare billing, Iowa enrollment
  • 156 clinicians in this Medicare group
NPI 1194060186 (319) 399-2096

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Brandon Boldt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Boldt reassigns Medicare benefits to Physicians' Clinic Of Iowa, PC (Cedar Rapids, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Boldt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon Boldt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Brandon Boldt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 3 months 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.