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

Jonathan Todd Bolthouse, MD

Individual provider Urology Physician · NPI 1518906221

Jonathan Todd Bolthouse, MD is an Urology in Grand Rapids, Michigan. Graduated from Wayne State University School of Medicine in 1995, 31 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
31
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2006
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

1900 Wealthy St SE Ste 100
Grand Rapids, MI 49506-2969
Phone: (616) 267-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 4301065768 (MI)

Record details

NPI number1518906221
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 6, 2006
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024
Mailing address100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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