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

Nicholas James Bolz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750813515

Nicholas James Bolz is an Orthopedic Surgery in Novi, Michigan. Graduated from New York Medical College in 2017, 9 years ago. Practices with The Porretta Center for Orthopaedic Surgery, PLLC, a 23-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Trained at
New York Medical College
Licensed in
MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

26750 Providence Pkwy Ste 200
Novi, MI 48374-1212
Phone: (866) 974-2673
Fax: (866) 939-2673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301508105 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750813515
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2017
Last updated in NPPESOctober 25, 2023
Certification dateOctober 25, 2023
Mailing address18444 N 25th Ave Ste 310, Phoenix, AZ 85023-1266

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2017 (9 years in practice)
Group practice The Porretta Center For Orthopaedic Surgery, Pllc — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Novi