IndividualActive
Larry Bolden, BA, SST
NPI 1265772446 · Case Manager/Care Coordinator · Detroit, MI
Larry Bolden, BA, SST is a Case Manager/Care Coordinator provider in Detroit, MI (NPI 1265772446).
Provider details
- NPI number
- 1265772446
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Credential
- BA, SST
- Sex
- Male
- Sole proprietor
- No
- License
- 6803086288 (MI)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
2939 Russell St
Detroit, MI 48207-4825
Phone: (313) 396-5300
Street-level locationGet directions
Mailing address
7512 Woodview St
Westland, MI 48185-5937
Registry dates
- Enumerated
- 2013-02-25
- Last updated
- 2013-02-25
Frequently asked questions
- What is Larry Bolden's NPI number?
- Larry Bolden's National Provider Identifier (NPI) is 1265772446, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Bolden's specialty?
- Larry Bolden is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator (Other Service Providers).
- Where is Larry Bolden located?
- Larry Bolden's practice location on file with NPPES is 2939 Russell St, Detroit, MI 48207-4825.
- What is Larry Bolden's phone number?
- The practice phone number listed in the NPPES registry for Larry Bolden is (313) 396-5300.
- Is Larry Bolden's NPI active?
- Yes — Larry Bolden's NPI (1265772446) is active in the NPPES registry as of the last update on 2013-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.