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

Dr. Jeremy Tyler Bolin, MD

Individual provider Vascular Surgery Physician · NPI 1023471174

Dr. Jeremy Tyler Bolin, MD is a Vascular Surgery Physician in Fort Sam Houston, Texas. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 539-9582
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence A151508 (CA)

Record details

NPI number1023471174
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2016
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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