Robert Mathew Boldy, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G80969 Issued in CA

Practice address

18077 US Highway 18 Ste 100
Apple Valley, CA 92307-2168

Phone

(760) 946-8169

NPI assigned

Oct 3, 2006

Last updated

May 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southern Monterey County Memorial Hospital

  dba Mee Memorial Healthcare System

  • Critical Access Hospital
  • King City, CA
  • NPI 1114917564
  Medicare reassignment NPD
• Southern Monterey County Memorial Hospital

  dba Family Medical Center

  • Clinic/Center
  • King City, CA
  • NPI 1821300427
  NPD
• Apogee Medical Group Texas PA

  • Internal Medicine Physician
  • Scottsdale, AZ
  • NPI 1558318071
  NPD (past)
• Bellville Hospital District

  dba Bellville General Hospital

  • General Acute Care Hospital
  • Bellville, TX
  • NPI 1457358103
  NPD (past)
• Permian Emergency Management PLLC

  • Hospitalist Physician
  • Midland, TX
  • NPI 1134294317
  NPD (past)
• Texas Em-I Medical Services, PA

  • Internal Medicine Physician
  • Greenville, TX
  • NPI 1699981720
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1063507382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18077 US HIGHWAY 18 STE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072168",
            "telephone_number": "760-946-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18077 US HIGHWAY 18 STE 100",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072168",
            "telephone_number": "760-946-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDY",
        "first_name": "ROBERT",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2186",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G80969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD",
            "identifier": "8BX469",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Starner Bledsoe, RN
• Thomas Bobadilla
• Laura Ann Bohnstedt, RDHAP
• Wassaporn Bohse, PSYD
• Deidre Lilia Bojorquez, MSN, FNP-C
• Franz Kenneth Bolowich, D.O
• Russell Bonjour
• Lila M Bonner
• Brittany Renee Borchard
• Leann Lee Borek-Robinson

• Internal Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.