JEREMY E BOLLUYT D.O.
NPI 1760452205
Family Medicine in Spirit Lake, IA

Active since January 26, 2006
2700 23RD ST, SUITE C, SPIRIT LAKE, IA 51360(712) 336-3750(712) 336-3730 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy E Bolluyt D.o. NPPES

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

JEREMY E BOLLUYT D.O. (NPI 1760452205) is an individual family medicine provider in Spirit Lake, Iowa, licensed in Iowa (3326) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1760452205
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEREMY E BOLLUYTCredential: D.O.
Location Address2700 23RD ST, SUITE CSpirit Lake, IA 51360-1158
Mailing Address2700 23rd St, Suite CSpirit Lake, IA 51360-1158 · (712) 336-3750 · Fax (712) 336-3730
Fax(712) 336-3730
Sole ProprietorNo
Enumeration DateJanuary 26, 2006
Last NPPES UpdateNovember 6, 2007
NPI 1760452205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 3326
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.
2700 23RD ST, Spirit Lake, IA 51360

Other Identifiers 2

Medicare PINI5641
Medicaid1187948IA

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2700 23RD ST
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST, STE C
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST
SPIRIT LAKE, IA 51360
Clinic/Center
2700 23RD ST
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST, STE C
SPIRIT LAKE, IA 51360
Family Medicine
2700 23RD ST, STE C
SPIRIT LAKE, IA 51360

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 Jeremy Bolluyt's NPI number?

The NPI number for Jeremy Bolluyt is 1760452205. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Jeremy Bolluyt located?

Jeremy Bolluyt practices at 2700 23rd St Suite C, Spirit Lake, IA 51360. The listed phone number is (712) 336-3750.

What is Jeremy Bolluyt's specialty?

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

When was this NPI record last updated?

The NPPES record for Jeremy Bolluyt was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.