OrganizationActive
Jeffrey P. Bolduan, M.D. Inc
NPI 1538320577 · Urology Physician · Goshen, IN
Provider details
- NPI number
- 1538320577
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeffrey Bolduan, President(574) 533-8420
- License
- 01030767 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1615 Winsted Dr Ste 4
Goshen, IN 46526-4673
Phone: (574) 533-8420
Fax: (574) 533-3909
Street-level locationGet directions
Mailing address
1615 Winsted Dr Ste 4
Goshen, IN 46526-4673
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2010-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.