1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Preventive Medicine
  6. NPI Profile

BETHANY PAGE BOULDIN MD
NPI 1356192637
Preventive Medicine - Occupational Medicine in Chicago, IL

Active since March 27, 2024PECOS Enrolled
820 S WOOD ST # MC675, CHICAGO, IL 60612(312) 996-2933 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2026, Jun 19, 2024, May 6, 2024 (3 updates tracked since 2024).

About Bethany Page Bouldin Md NPPES

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

BETHANY PAGE BOULDIN MD (NPI 1356192637) is an individual occupational medicine provider in Chicago, Illinois, licensed in Illinois (125.084571) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356192637
Entity TypeIndividualFemale
Primary Taxonomy2083X0100X
Provider Legal NameBETHANY PAGE BOULDINCredential: MD
Location Address820 S WOOD ST # MC675Chicago, IL 60612-4325
Mailing Address820 S Wood St # Mc675Chicago, IL 60612-4325 · (312) 996-2933
Phone(312) 996-2933
Sole ProprietorNo
Enumeration DateMarch 27, 2024
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
✔ NPI 1356192637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
License✔ Licensed in IL · 125.084571
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
820 S WOOD ST # MC675, Chicago, IL 60612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Page Bouldin Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

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.

SAIRA AHMED
Student in an Organized Health Care Education/Training Program
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. SERINA MATHEW MD
Emergency Medicine
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933
LAURYN DENISE BAUSLEY MD
Student in an Organized Health Care Education/Training Program
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933
SHOMARI SANKARA
Psychiatry & Neurology (Psychiatry)
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933
HANNA MICHELLE MORADI MD
Surgery
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-1066
KRISTINA PENELOPE KURKER
Student in an Organized Health Care Education/Training Program
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-8741
DR. TAYLOR MARKS DO
Emergency Medicine
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933
DR. KANGNI XIAO MD
Psychiatry & Neurology (Neurology)
820 S WOOD ST # MC675
CHICAGO, IL 60612
Cook County (312) 996-2933

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 Bethany Bouldin's NPI number?

The NPI number for Bethany Bouldin is 1356192637. It was assigned to this individual provider in the NPPES registry on March 27, 2024.

Where is Bethany Bouldin located?

Bethany Bouldin practices at 820 S Wood St # Mc675, Chicago, IL 60612. The listed phone number is (312) 996-2933.

What is Bethany Bouldin's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Is Bethany Bouldin enrolled in Medicare?

Yes. Bethany Bouldin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Bouldin was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.