Brandon Bolduc, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.006507RX Issued in OH

Practice address

651 Colliers Way Ste 511
Weirton, WV 26062-5054

Phone

(304) 723-6801

NPI assigned

Nov 5, 2018

Last updated

Apr 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV, OH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WMC Physician Practices LLCGroup PAC ID 0244466753, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Trinity Medical Ctr East &Trinity Medical Ctr West Hospital, Steubenville, OH, CCN 360211

Merit-based Incentive Payment System (MIPS)

Final score

73.74 of 100Reported as group

Quality

48.02

Promoting interoperability

91

Improvement activities

40

Cost

71.96

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Burgettstown, PA
  • NPI 1518303288

  WV

  Medicare reassignment Care Compare group NPD
• Pain and Spine Specialists of Maryland, LLC

  dba Pain and Spine Specialists of Florida

  • Specialist
  • Mount Airy, MD
  • NPI 1174884258

  OH

  Medicare reassignment
• WMC Physician Practices LLC

  • Internal Medicine Physician
  • Weirton, WV
  • NPI 1104280213
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Weirton Medical Center, Inc

  dba Weirton Medial Center

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Trinity Hospital Holding Company

  dba Acute Care West

  • General Acute Care Hospital
  • Steubenville, OH
  • NPI 1285715144
  Care Compare affiliation

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1316415672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 511",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625054",
            "telephone_number": "304-723-6801",
            "fax_number": "304-723-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 COLLIERS WAY STE 511",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625054",
            "telephone_number": "304-723-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLDUC",
        "first_name": "BRANDON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-05",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "2180",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006507RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashten Blake, PTA
• Mary A Blake, R.N.
• David R Blanc, DDS
• David Richard Blum, MA
• Kara Board
• Brianna Boleware
• Shea Bonacci, NP
• Clinton Fitzgerld Bond
• Megan Lynn Boniti, PHARMD
• Mary Elizabeth Boring

• Physician Assistant in Weirton, WV
• Providers in Weirton, WV by specialty
• Physician Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.