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

Dr. Jonathan Wyatt Bold, MD

Individual provider Diagnostic Radiology Physician · NPI 1053390021

Dr. Jonathan Wyatt Bold, MD is a Diagnostic Radiology in Edina, Minnesota. Qualified in 1997, 29 years ago. Practices with Geisinger Clinic, a 3,413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Nevada.

Years since qualifying
29
Licensed in
IL, NV
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

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

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

Additional practice locations (1)

  • 4440 W 95th St, Oak Lawn, IL 60453-2600 — (708) 684-6949

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-129158 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 10584 (NV)

Record details

NPI number1053390021
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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