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

Jacob Allen Bolt, MD

Individual provider Emergency Medicine Physician · NPI 1174184931

Jacob Allen Bolt, MD is an Emergency Medicine in Fort Smith, Arkansas. Graduated from University of Arkansas College of Medicine in 2019, 7 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Arkansas and Missouri.

Years since qualifying
7
Trained at
University of Arkansas College of Medicine
Licensed in
AR, MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone: (479) 441-5011
Fax: (479) 441-4932
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 E-13356 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence E-13356 (AR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2019022911 (MO)

Record details

NPI number1174184931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2019
Last updated in NPPESDecember 20, 2022
Certification dateDecember 20, 2022
Mailing address11001 Executive Center Dr Ste 200, Little Rock, AR 72211-4393

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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