RICKY BOLDMAN
NPI 1437126323
Physician Assistant in Pontiac, MI

Active since March 01, 2006
461 W HURON ST, SUITE 207, PONTIAC, MI 48341(248) 857-7160 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricky Boldman NPPES

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

RICKY BOLDMAN (NPI 1437126323) is an individual physician assistant in Pontiac, Michigan, licensed in Michigan (5601001019) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1437126323
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICKY BOLDMAN
Location Address461 W HURON ST, SUITE 207Pontiac, MI 48341-1601
Mailing Address461 W Huron St, Suite 207Pontiac, MI 48341-1601 · (248) 857-7160
Sole ProprietorNo
Enumeration DateMarch 1, 2006
Last NPPES UpdateJuly 16, 2007
NPI 1437126323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601001019
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
461 W HURON ST, Pontiac, MI 48341

Other Identifiers 1

Medicare UPINP37067MI

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.

Radiology (Diagnostic Radiology)
461 W HURON ST, RADIOLOGY
PONTIAC, MI 48341
Anesthesiology
461 W HURON ST, DEPARTMENT OF ANESTHESIA
PONTIAC, MI 48341
Family Medicine
461 W HURON ST
PONTIAC, MI 48341
Psychiatry & Neurology (Psychiatry)
461 W HURON ST
PONTIAC, MI 48341
Emergency Medicine
461 W HURON ST, NOMC EMERCENCY CENTER
PONTIAC, MI 48341
Physician Assistant
461 W HURON ST, NOMC FAMILY PRACTICE CENTER
PONTIAC, MI 48341
Psychiatry & Neurology (Neurology)
461 W HURON ST, SUITE 600, SEMINOLE BUILDING
PONTIAC, MI 48341
Internal Medicine (Cardiovascular Disease)
461 W HURON ST
PONTIAC, MI 48341

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 Ricky Boldman's NPI number?

The NPI number for Ricky Boldman is 1437126323. It was assigned to this individual provider in the NPPES registry on March 1, 2006.

Where is Ricky Boldman located?

Ricky Boldman practices at 461 W Huron St Suite 207, Pontiac, MI 48341. The listed phone number is (248) 857-7160.

What is Ricky Boldman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Ricky Boldman was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.