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ALEC BOLD DO
NPI 1174327399
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since April 04, 2025PECOS Enrolled
3691 RUTGER ST, SAINT LOUIS, MO 63110(314) 977-1919 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alec Bold Do NPPES

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

ALEC BOLD DO (NPI 1174327399) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174327399
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameALEC BOLDCredential: DO
Location Address3691 RUTGER STSaint Louis, MO 63110-2515
Mailing Address128 Liederkranz LnMillstadt, IL 62260-2266 · (618) 971-5155
Phone(314) 977-1919
Sole ProprietorYes
Enumeration DateApril 4, 2025
NPPES CertifiedApril 4, 2025
✔ NPI 1174327399 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.

3691 RUTGER ST, Saint Louis, MO 63110
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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)

Alec Bold Do 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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH R WALSH MOT, OTR/L
Occupational Therapist
3691 RUTGER ST
SAINT LOUIS, MO 63110
St. Louis City (314) 977-6828
PROF. VEYSEL AKGUN MD
Radiology (Diagnostic Radiology)
3691 RUTGER ST
SAINT LOUIS, MO 63110
St. Louis City (314) 617-2876
MARY E HOHENBERG PA
Physician Assistant (Surgical)
3691 RUTGER ST
SAINT LOUIS, MO 63110
St. Louis City (314) 977-6828
MS. SHERRY LYNNE MUIR MOT, OTR
Occupational Therapist
3691 RUTGER ST
SAINT LOUIS, MO 63110
St. Louis City (314) 977-6828
ST. LOUIS RENAL CARE LLC GRAND
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3691 RUTGER ST, SUITE 222
SAINT LOUIS, MO 63110
St. Louis City (314) 268-5063
DR. BISHNU P DEVKOTA M.D.
Internal Medicine
3691 RUTGER ST
SAINT LOUIS, MO 63110
St. Louis City (314) 977-6828
MARK S DYKEWICZ MD
Internal Medicine (Allergy & Immunology)
3691 RUTGER ST, SUITE 100
SAINT LOUIS, MO 63110
St. Louis City (314) 977-9050
CAROL G. DUANE CPNP
Registered Nurse
3691 RUTGER ST, SUITE 100
SAINT LOUIS, MO 63110
St. Louis City (314) 977-6333

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 Alec Bold's NPI number?

The NPI number for Alec Bold is 1174327399. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Alec Bold located?

Alec Bold practices at 3691 Rutger St, Saint Louis, MO 63110. The listed phone number is (314) 977-1919.

What is Alec Bold's specialty?

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

Is Alec Bold enrolled in Medicare?

Yes. Alec Bold is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alec Bold was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.