Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON FORREST BOLDT, MD
ActiveSleep Medicine · NEWPORT, RI
Registration Details
- NPI Number
- 1073019261
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2018 (8.0471606428418 yrs)
- Last Updated
- Feb 21, 2024
- License
-
MD-46469 (IA)
Practice Information
- Address
-
293 KOLLMEYER STNEWPORT, RI, 028411605Browse RI providers · Browse ZIP 02841
- Phone
- 4018417987
- Primary Specialty
-
Sleep Medicine
207RS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.