BRYCE JALEN BOLDEN
NPI 1124857305
Student in an Organized Health Care Education/Training Program in Florissant, MO

Q: What is Bryce Bolden's NPI number?

The NPI number for Bryce Bolden is 1124857305. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Q: What is Bryce Bolden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bryce Bolden was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 29, 2024

4410 KAREN ANN CT, FLORISSANT, MO 63034(314) 593-7006 Get Directions Write a Review

NPPES record last updated: July 29, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Bryce Jalen Bolden NPPES

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

BRYCE JALEN BOLDEN (NPI 1124857305) is an individual student in an organized health care education/training program in Florissant, Missouri and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1124857305

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRYCE JALEN BOLDEN

Location Address4410 KAREN ANN CTFlorissant, MO 63034-3496

Mailing Address4410 Karen Ann CtFlorissant, MO 63034-3496 · (314) 593-7006

Phone(314) 593-7006

Sole ProprietorYes

Enumeration DateJuly 29, 2024

NPPES CertifiedJuly 28, 2024

✔ NPI 1124857305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4410 KAREN ANN CT, Florissant, MO 63034

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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 Bryce Bolden's NPI number?

The NPI number for Bryce Bolden is 1124857305. It was assigned to this individual provider in the NPPES registry on July 29, 2024.

Where is Bryce Bolden located?

Bryce Bolden practices at 4410 Karen Ann Ct, Florissant, MO 63034. The listed phone number is (314) 593-7006.

What is Bryce Bolden's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Bryce Bolden was last updated on July 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.