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

Individual provider Neurology Physician · NPI 1336251016

Dr. Jayanth Bolaram, MD is a Psychiatry in Wichita Falls, Texas. Qualified in 1994, 32 years ago. Practices with Cedar Crest Clinic, an 8-clinician group and accepts Medicare assignment. Licensed in Florida and Texas.

Years since qualifying
32
Licensed in
FL, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2405 9th St Ste A
Wichita Falls, TX 76301-4060
Phone: (863) 214-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence S9660 (TX)
Neurology Physician Taxonomy 2084N0400X · Licence ME92560 (FL)

Record details

NPI number1336251016
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022
Mailing address2405 9th St Ste A, Wichita Falls, TX 76301-4060

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Cedar Crest Clinic — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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