1. Home
  2. Directory
  3. Ohio
  4. Beavercreek
  5. Family Medicine
  6. NPI Profile

TRACIE L BOLDEN MD
NPI 1467656413
Family Medicine in Beavercreek, OH

Active since June 13, 2007PECOS Enrolled
2510 COMMONS BLVD, SUITE 160, BEAVERCREEK, OH 45431(937) 426-0049(937) 431-8140 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tracie L Bolden Md NPPES

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

TRACIE L BOLDEN MD (NPI 1467656413) is an individual family medicine provider in Beavercreek, Ohio, licensed in Ohio (35.093263) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467656413
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTRACIE L BOLDENCredential: MD
Location Address2510 COMMONS BLVD, SUITE 160Beavercreek, OH 45431-3820
Mailing Address2510 Commons Blvd, Suite 160Beavercreek, OH 45431-3820 · (937) 426-0049 · Fax (937) 431-8140
Phone(937) 426-0049
Fax(937) 431-8140
Sole ProprietorNo
Enumeration DateJune 13, 2007
Last NPPES UpdateApril 20, 2016
✔ NPI 1467656413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.093263
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2510 COMMONS BLVD, Beavercreek, OH 45431
Open in Google Maps ↗

Other Identifiers 4

Medicare PINH389020OH
Medicare PIN4260492OH
Medicare PIN4260491OH
Medicaid2943640OH

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tracie L Bolden 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 45431 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

DR. TROY ALAN TYNER D.O.,F.A.C.O.I.
Internal Medicine
2510 COMMONS BLVD, SUITE 210
BEAVERCREEK, OH 45431
Greene County (937) 429-0607
ORTHOPEDIC ASSOCIATES OF S W OHIO, INC
Orthopaedic Surgery
2510 COMMONS BLVD, SUITE 200A
BEAVERCREEK, OH 45431
Greene County (937) 433-3460
GREENE MEMORIAL HOSPITAL SERVICES, INC.
Podiatrist
2510 COMMONS BLVD, SUITE 160
BEAVERCREEK, OH 45431
Greene County (937) 298-7351
DAYTON OSTEOPATHIC HOSPITAL
Pharmacy (Community/Retail Pharmacy)
2510 COMMONS BLVD
BEAVERCREEK, OH 45431
Greene County (937) 558-3030
BEAVERCREEK FAMILY CARE ASSOCIATES LTD
Family Medicine
2510 COMMONS BLVD, SUITE #275
BEAVERCREEK, OH 45431
Greene County (937) 431-3700
MR. DAVID SEAN GILMORE PT
Physical Therapist
2510 COMMONS BLVD, SUITE 240
BEAVERCREEK, OH 45431
Greene County (937) 429-8620
THE DAYTON HEART CENTER, INC.
Internal Medicine (Cardiovascular Disease)
2510 COMMONS BLVD, SUITE 125
BEAVERCREEK, OH 45431
Greene County (937) 320-0630
KEVIN VOLT M.D.
Internal Medicine
2510 COMMONS BLVD, SUITE 210
BEAVERCREEK, OH 45431
Greene County (937) 429-0607

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 Tracie Bolden's NPI number?

The NPI number for Tracie Bolden is 1467656413. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Tracie Bolden located?

Tracie Bolden practices at 2510 Commons Blvd Suite 160, Beavercreek, OH 45431. The listed phone number is (937) 426-0049.

What is Tracie Bolden's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tracie Bolden enrolled in Medicare?

Yes. Tracie Bolden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracie Bolden was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.