Bethany Bouldin, MD
NPI 1356192637 · Occupational Medicine Physician · Chicago, IL
Enrolled with Medicare as Order and Referring Only - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bethany Bouldin, MD is a Occupational Medicine Physician provider in Chicago, IL (NPI 1356192637).
Provider details
- NPI number
- 1356192637
- Entity type
- Individual
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 125.084571 (IL)
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
2 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
- 2024-03-27
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Bethany Bouldin's NPI number?
- Bethany Bouldin's National Provider Identifier (NPI) is 1356192637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bethany Bouldin's specialty?
- Bethany Bouldin is listed in the NPPES registry with a primary specialty of Occupational Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bethany Bouldin located?
- Bethany Bouldin's practice location on file with NPPES is 820 S Wood St # Mc675, Chicago, IL 60612-4325.
- What is Bethany Bouldin's phone number?
- The practice phone number listed in the NPPES registry for Bethany Bouldin is (312) 996-2933.
- Does Bethany Bouldin accept Medicare?
- Bethany Bouldin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Bethany Bouldin's NPI active?
- Yes — Bethany Bouldin's NPI (1356192637) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.