Individual provider Active NPI

Christopher Shawn Bolt, M.D.

  • Internal Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1255684221
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME126304 Issued in FL
Practice address
4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416
Phone
(855) 226-6633
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD38256 SC
Internal Medicine Physician 207R00000X ME126304 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X 39 NY

Addresses

Primary practice location

4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416

Mailing address

8333 NW 53Rd St FL 6
Doral, FL 33166-4783

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.bolt@chealth.eclinicaldirectplus.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20160620001400 FL Practitioner - Internal Medicine 5496065427 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cano Health, LLCGroup PAC ID 1759565047, 141 clinicians

Practice addresses (Care Compare)

4020 W Hillsboro Blvd
Deerfield Beach, FL 33442-9416
Phone (954) 514-9360

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD38256SCMDInternal Medicine Physician
39NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Hospitalists PL CurrentSince Jan 1, 2018 Accepting new patients
Cano Health, LLC CurrentSince Mar 27, 2023 Accepting new patients
Florida Internal Medicine Associates CurrentSince Dec 7, 2022 Accepting new patients
Fort Lauderdale Physician Services, LLC CurrentSince Jul 11, 2017 Accepting new patients
Coral Springs Physician Services, LLC CurrentSince Aug 15, 2017 Accepting new patients

Locations

4020 W Hillsboro Blvd
Deerfield Beach, FL 33442

1899 W Hillsboro Blvd
Deerfield Beach, FL 33442
Phone (954) 725-7291

8333 NW 53rd St
Fl 6
Doral, FL 33166

6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

9725 NW 117th Ave
Ste 200
Medley, FL 33178
Phone 9545149360 ext. 8515

680 N University Dr
Pembroke Pines, FL 33024
Phone (954) 538-6868

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBJFCD

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1255684221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 NW 53RD ST FL 6",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331664783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4020 W HILLSBORO BLVD",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334429416",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHAWN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MD38256",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME126304",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "39",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.bolt@chealth.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4020 W Hillsboro Blvd",
            "city": "Deerfield Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334429416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

Verify at the official NPI Registry.