JEREMY E. BOLLUYT D.O. – NPI #1760452205
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

JEREMY BOLLUYT is a physician located in SPIRIT LAKE, IA. NPPES has assigned the NPI number 1760452205 to JEREMY BOLLUYT on January 26, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Nov 06, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEREMY BOLLUYT below.

NPI Profile for
JEREMY E. BOLLUYT

NPI Number
1760452205
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JEREMY E. BOLLUYT
Credentials
D.O.
Primary location
2700 23RD ST
SUITE C
SPIRIT LAKE, IA 51360-1158
Phone: (712) 336-3750 Fax: (712) 336-3730
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JEREMY BOLLUYT

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA1187948
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
IA 3326

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.