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

Derek Bolt, DO

Individual provider Emergency Medicine Physician · NPI 1881147882

Derek Bolt, DO is an Emergency Medicine Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2016.

Licensed in
OK
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

100 S Bliss Ave
Tahlequah, OK 74464-2512
Phone: (918) 458-3104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 6143 (OK)

Record details

NPI number1881147882
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 27, 2016
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address100 S Bliss Ave, Tahlequah, OK 74464-2512

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