IndividualActive
Brandon Boldt, MD
NPI 1073019261 · Sports Medicine (Internal Medicine) Physician · Newport, RI
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)
Mailing address
43 Smith Rd
Newport, RI 02841-1006
Registry dates
- Enumerated
- 2018-04-05
- Last updated
- 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.