Active NPI
John Michael Bolds, MD
- Pulmonary Disease Physician
- Nashville, TN
National Provider Identifier
1659375467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 14099
- Practice address
- 300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131 - Phone
- (615) 284-1400
- Fax
- (615) 284-1348
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | 14099 | TN | |
| Pulmonary Disease Physician | 207RP1001X | 14099 | TN | Primary |
Addresses
Primary practice location
300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131
Mailing address
300 20TH Ave N
9TH Floor
Nashville, TN 37203-2131
Phone (615) 284-1400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3018721 | Medicaid | TN | |
| 4082465 | Other | TN | AETNA |
| 110054559 | Other | TN | RR MEDICARE |
| 2003904 | Other | TN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14099 | TN | MD | Sleep Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashville Inpatient Management Services, PLC | Past | Accepting new patients | |
| Mid-State Pulmonary Associates, PLLC | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pulmonary Disease Physician
- Nashville, TN
- NPI 1225023393
-
- Critical Care Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1679568745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413331200000",
"number": "1659375467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 20TH AVE N",
"address_2": "9TH FLOOR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032131",
"telephone_number": "615-284-1400",
"fax_number": "615-284-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 20TH AVE N",
"address_2": "9TH FLOOR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032131",
"telephone_number": "615-284-1400",
"fax_number": "615-284-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLDS",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2014-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "TN",
"license": "14099",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "14099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3018721",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4082465",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110054559",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2003904",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.