BRANDON FORREST BOLDT MD
NPI 1073019261
Internal Medicine - Sports Medicine in Newport, RI
NPI Status: Active since April 05, 2018
Contact Information
293 KOLLMEYER ST
NEWPORT, RI
ZIP 02841
Phone: (401) 841-7987
- Individual
- Male
- Internal Medicine
- Sports Medicine
- PECOS Enrolled
About BRANDON BOLDT
This page provides the complete NPI Profile along with additional information for Brandon Boldt, an internist established in Newport, Rhode Island with a medical specialization in Internal Medicine, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1073019261 assigned on April 2018. The practitioner's primary taxonomy code is 207RS0010X with license number MD-46469 (IA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1073019261
- Provider Name
- BRANDON FORREST BOLDT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 293 KOLLMEYER ST NEWPORT, RI 02841
- Location Phone
- (401) 841-7987
- Mailing Address
- 43 SMITH RD NEWPORT, RI 02841
- Mailing Phone
- (401) 841-7987
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-05-2018
- Last Update Date
- 02-21-2024
- Code Navigator
An internist like Brandon Boldt is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Sports Medicine
- Taxonomy Code
- 207RS0010X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-46469
- License State
- IA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
Brandon Boldt is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 20 Medicare Claims 20 Services Paid
DME-Oxygen and Supplies (DC002N)
Portable oxygen concentrator, rental (HCPCS:E1392)
1 DME suppliers used 20 Medicare Claims 20 Services Paid
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1073019261, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073019261, enumerated as an "individual" on April 05, 2018.
The provider is located at 293 KOLLMEYER ST NEWPORT, RI 02841 and the phone number is (401) 841-7987.
Internal Medicine with taxonomy code 207RS0010X and a focus in Sports Medicine.
