Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396043758 Individual Practitioner Male Practitioner

Dr. Jerry Michael Bolduan , MD

General Practice • Sebastopol, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jerry Bolduan, MD is a registered healthcare professional specializing in General Practice in Sebastopol, CA. Practice services are available at 10450 CHERRY RIDGE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10450 Cherry Ridge Rd

Sebastopol, CA 954729028

Telephone 7078235583

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Sebastopol, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 31.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Sebastopol, CA (2300 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License CA G032312

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active March 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location March 09, 2011

Registered at 10450 CHERRY RIDGE RD, SEBASTOPOL, CA 954729028 (Tel: 7078235583)

📍
Updated Business Mailing Address March 09, 2011

Registered at 10450 CHERRY RIDGE RD, SEBASTOPOL, CA 954729028 (Tel: 7078235583)

👤
Provider Name / Credentials Updated March 09, 2011

Recorded as JERRY BOLDUAN, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2011

General Practice (License #G032312 in CA)

🟢
Initial NPI Registration & Enumeration March 09, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396043758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2011
Last Update: March 09, 2011
Sole Proprietor: Yes

Mailing Address

10450 Cherry Ridge Rd

Sebastopol, CA 954729028

Phone: 7078235583

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.