DR. JEFFREY BOLSTRIDGE D.O.
NPI 1659767366
Pediatrics - Pediatric Critical Care Medicine in Bethesda, MD

Active since April 09, 2015PECOS Enrolled
8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICS, BETHESDA, MD 20889(301) 319-2391 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeffrey Bolstridge D.o. NPPES

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

DR. JEFFREY BOLSTRIDGE D.O. (NPI 1659767366) is an individual pediatric critical care medicine provider in Bethesda, Maryland, licensed in Virginia (102204710) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659767366
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. JEFFREY BOLSTRIDGECredential: D.O.
Location Address8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICSBethesda, MD 20889-4504
Mailing Address8901 Wisconsin Ave Department Of PediatricsBethesda, MD 20889-0001
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
NPI 1659767366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in VA · 102204710
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 102204710 (VA)
8901 WISCONSIN AVE DEPARTMENT OF PEDIATRICS, Bethesda, MD 20889

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jeffrey Bolstridge D.o. 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.

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 Bolstridge's NPI number?

The NPI number for Jeffrey Bolstridge is 1659767366. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Jeffrey Bolstridge located?

Jeffrey Bolstridge practices at 8901 Wisconsin Ave Department Of Pediatrics, Bethesda, MD 20889. The listed phone number is (301) 319-2391.

What is Jeffrey Bolstridge's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Jeffrey Bolstridge enrolled in Medicare?

Yes. Jeffrey Bolstridge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeffrey Bolstridge was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.