P Praxis·MD
● Active Type 1 · Individual

DR. Jeremy Tyler Bolin, MD

Surgery·Fort Sam Houston, TX· NPI 1023471174 · Enumerated 2016 · 10 years on NPI
Bolin is 1 of 7 surgery providers in Fort Sam Houston and 1 of 489 in Texas.
NPI age
10 years
Enumerated 2016-04-05
Primary specialty
Surgery
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 489 active surgery providers in Texas.

NPI age
10 years
↓ 7 yr below median (17 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
49% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 2105399582
Mailing address
3551 Roger Brooke Dr
Fort Sam Houston, TX 782344504
📞 7202362797

Specialties

  • Surgery Primary
    A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
    CA license #A151508 taxonomy 2086S0129X

Practice context

Part of a multi-provider practice. 1394 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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