BRITTANY R. BOLT (DO PHD) – Neurocritical Care Physician, NPI 1477048932

BRITTANY R. BOLT (DO PHD) is a healthcare provider. based in Normal, Illinois. specializing in NEUROLOGY. They hold the professional credentials DO PHD. They hold a License No. 125.073341 (IL). The NPI Number for BRITTANY R. BOLT (DO PHD) is 1477048932

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
BRITTANY R. BOLT (DO PHD)
NPI
1477048932
Phone
Not provided
Address
1304 FRANKLIN AVE
Enumeration Date
27 June 2018
Last Update Date
11 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164445433
Graduation Year
2018 (8 years ago)
PAC ID
1951658160
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20241011002624
Address ID
OH441950001CL9500XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,188 NEUROLOGY in IL

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Provider Addresses for BRITTANY R. BOLT (DO PHD)

  • Carle BroMenn Medical Center, 1304, Franklin Avenue, Normal, McLean County, Illinois, 61761, United States

    NORMAL, IL 617613558

    Phone:

    Type: Mailing

  • 9500 EUCLID AVE

    CLEVELAND, OH 441950001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241011002624INeurologyOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Does BRITTANY R. BOLT (DO PHD) have a public NPI I can cite?
Public records show BRITTANY R. BOLT (DO PHD) under NPI 1477048932.
Does the public listing show BRITTANY R. BOLT (DO PHD) as active?
BRITTANY R. BOLT (DO PHD)'s NPI record reflects an active status in NPPES.
What services align with BRITTANY R. BOLT (DO PHD)'s listing?
BRITTANY R. BOLT (DO PHD)'s public classification highlights Neurocritical Care Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to BRITTANY R. BOLT (DO PHD)?
BRITTANY R. BOLT (DO PHD) shows a connection to Normal, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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