What is Jerry Bolduan's NPI number?

Jerry Bolduan's National Provider Identifier (NPI) is 1396043758, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jerry Bolduan's specialty?

Jerry Bolduan is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).

Where is Jerry Bolduan located?

Jerry Bolduan's practice location on file with NPPES is 10450 Cherry Ridge Rd, Sebastopol, CA 95472-9028.

What is Jerry Bolduan's phone number?

The practice phone number listed in the NPPES registry for Jerry Bolduan is (707) 823-5583.

Is Jerry Bolduan's NPI active?

Yes — Jerry Bolduan's NPI (1396043758) is active in the NPPES registry as of the last update on 2011-03-09.

IndividualActive

Jerry Bolduan, MD

NPI 1396043758 · General Practice Physician · Sebastopol, CA

Jerry Bolduan, MD is a General Practice Physician provider in Sebastopol, CA (NPI 1396043758).

Provider details

NPI number: 1396043758
Entity type: Individual
Primary specialty: General Practice PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: G032312 (CA)

Specialties & taxonomies

General Practice PhysicianPrimary208D00000XLicense G032312 (CA)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(82/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
15 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

10450 Cherry Ridge Rd

Sebastopol, CA 95472-9028

Phone: (707) 823-5583

Street-level locationGet directions

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Mailing address