Brandon Boldt, MD
NPI 1073019261 · Sports Medicine (Internal Medicine) Physician · Newport, RI
Enrolled with Medicare as Order and Referring Only - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brandon Boldt, MD is a Sports Medicine (Internal Medicine) Physician provider in Newport, RI (NPI 1073019261).
Provider details
- NPI number
- 1073019261
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-46469 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 2024-02-21
- Certified
- 2024-02-21
Frequently asked questions
- What is Brandon Boldt's NPI number?
- Brandon Boldt's National Provider Identifier (NPI) is 1073019261, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brandon Boldt's specialty?
- Brandon Boldt is listed in the NPPES registry with a primary specialty of Sports Medicine (Internal Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Brandon Boldt located?
- Brandon Boldt's practice location on file with NPPES is 293 Kollmeyer St, Newport, RI 02841-1605.
- What is Brandon Boldt's phone number?
- The practice phone number listed in the NPPES registry for Brandon Boldt is (401) 841-7987.
- Does Brandon Boldt accept Medicare?
- Brandon Boldt is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brandon Boldt's NPI active?
- Yes — Brandon Boldt's NPI (1073019261) is active in the NPPES registry as of the last update on 2024-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.