Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenn Aline Bolding, PA-C, MS, LAT

Individual provider Athletic Trainer · NPI 1932613809

Brenn Aline Bolding, PA-C, MS, LAT is a Physician Assistant in Raleigh, North Carolina. Qualified in 2024, 2 years ago. Practices with Raleigh Orthopaedic Clinic PA, a 128-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2017
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
MS — Master of Science
A graduate science degree.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone: (919) 863-6856
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14785 (NC)
Athletic Trainer Taxonomy 2255A2300X

Record details

NPI number1932613809
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MS , LAT
Sole proprietorNo
NPI enumeratedNovember 29, 2017
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Raleigh Orthopaedic Clinic Pa — 128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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