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JEFFREY P. BOLDUAN, M.D. INC
NPI 1538320577
Urology in Goshen, IN

Active since June 23, 2008
1615 WINSTED DR STE 4, GOSHEN, IN 46526(574) 533-8420(574) 533-3909 Get Directions Write a Review

NPPES record last updated: March 11, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey P. Bolduan, M.d. Inc NPPES

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

JEFFREY P. BOLDUAN, M.D. INC (NPI 1538320577) is a healthcare organization registered as an urology in Goshen, Indiana and active in the NPI registry since June 2008. The organization lists Jeffrey P Bolduan, President, as its authorized official.

NPPES Registry Identity

NPI1538320577
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJEFFREY P. BOLDUAN, M.D. INC
Location Address1615 WINSTED DR STE 4Goshen, IN 46526-4673
Mailing Address1615 Winsted Dr Ste 4Goshen, IN 46526-4673 · (574) 533-8420 · Fax (574) 533-3909
Phone(574) 533-8420
Fax(574) 533-3909
Organization SubpartNo
Authorized OfficialJeffrey P BolduanPresident · (574) 533-8420
Enumeration DateJune 23, 2008
Last NPPES UpdateMarch 11, 2010
✔ NPI 1538320577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in IN · 01030767
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1615 WINSTED DR STE 4, Goshen, IN 46526
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Other Identifiers 4

Other1831278027IN · Individual Npo
Medicaid100112510AIN
Medicare UPINE30713IN
Medicare PIN224980IN

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jeffrey P. Bolduan, M.D. Inc's NPI number?

The NPI number for Jeffrey P. Bolduan, M.D. Inc is 1538320577. It was assigned to this organization in the NPPES registry on June 23, 2008.

Where is Jeffrey P. Bolduan, M.D. Inc located?

Jeffrey P. Bolduan, M.D. Inc is located at 1615 Winsted Dr Ste 4, Goshen, IN 46526. The listed phone number is (574) 533-8420.

What is Jeffrey P. Bolduan, M.D. Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Jeffrey P. Bolduan, M.D. Inc was last updated on March 11, 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.