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BRADLEY BOLDIZAR
NPI 1215258702
Internal Medicine in Charleston, SC

Active since June 18, 2010PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bradley Boldizar NPPES

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

BRADLEY BOLDIZAR (NPI 1215258702) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL32657) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Tishomingo Health Services Inc, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2010).

NPPES Registry Identity

NPI1215258702
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRADLEY BOLDIZAR
Location Address169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL, MSC333Charleston, SC 29425-8905
Mailing Address169 Ashley Ave, Room 202 Main Hospital, Msc333Charleston, SC 29425-8905
Phone(843) 792-1414
Sole ProprietorYes
Medical School CMSUniversity Of Tennessee, Hsc, College Of MedicineGraduated 2010
Enumeration DateJune 18, 2010
✔ NPI 1215258702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL32657
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 ASHLEY AVE, Charleston, SC 29425
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Bradley Boldizar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082849344
PECOS Enrollment IDI20131023000976
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
733 services219 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
127 services126 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
46 services46 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tishomingo Health Services Inc

Acute Care Hospitals · Iuka, MS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250002
Location1777 Curtis DriveIuka, MS 38852 · Tishomingo County
Emergency services

North Mississippi Medical Center

Acute Care Hospitals · Tupelo, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250004
Location830 S Gloster StreetTupelo, MS 38801 · Lee County
Emergency services Birthing friendly

North Mississippi Medical Center-Gilmore Amory

Acute Care Hospitals · Amory, MS
4/5 CMS rating
OwnershipProprietary
CMS Certification Number250025
Location1105 Earl Frye BlvdAmory, MS 38821 · Monroe County
Emergency services Birthing friendly

Clay County Medical Corporation

Acute Care Hospitals · West Point, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number250067
Location150 Medical Center DriveWest Point, MS 39773 · Clay County
Emergency services Birthing friendly

Pontotoc Health Service Inc Cah

Critical Access Hospitals · Pontotoc, MS
OwnershipVoluntary non-profit - Private
CMS Certification Number251308
Location176 South Main StreetPontotoc, MS 38863 · Pontotoc County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.08
Promoting Interoperability88
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims365 services$4.13 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims4,488 services$0.44 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers48 claims48 services$20.00 avg. paid by Medicare
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
3 suppliers48 claims48 services$110.46 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.

MR. BRUCE ALAN REEVES PT
Physical Therapist (Orthopedic)
169 ASHLEY AVE, ROOM, 3SW WING
CHARLESTON, SC 29425
Charleston County (843) 792-3481
KRISTINA CALAMIA
Health and Wellness Coach
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3881
EMILY MCGILL MD
Anesthesiology
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-2185
PAIGE WOODHAM M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 792-1086
KATIE FLOWER M.D.
Surgery
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL
CHARLESTON, SC 29425
Charleston County (216) 385-5459
JENNIE HYEJIN KWON MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-3072
DR. BRIAN ELLIS JACOBS MD
Surgery
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 792-1414
HANNAH ELIZABETH PRESSLER
Internal Medicine
169 ASHLEY AVE
CHARLESTON, SC 29425
Charleston County (843) 754-7275

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 Bradley Boldizar's NPI number?

The NPI number for Bradley Boldizar is 1215258702. It was assigned to this individual provider in the NPPES registry on June 18, 2010.

Where is Bradley Boldizar located?

Bradley Boldizar practices at 169 Ashley Ave Room 202 Main Hospital, Msc333, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Bradley Boldizar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bradley Boldizar enrolled in Medicare?

Yes. Bradley Boldizar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bradley Boldizar accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Bradley Boldizar 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.

Is Bradley Boldizar affiliated with any hospitals?

According to CMS data, Bradley Boldizar is affiliated with Tishomingo Health Services Inc, North Mississippi Medical Center, North Mississippi Medical Center-Gilmore Amory, Clay County Medical Corporation and Pontotoc Health Service Inc Cah.

When was this NPI record last updated?

The NPPES record for Bradley Boldizar was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.