NPI 1003752080 · live from the CMS NPI Registry
Bold Behavioral Health, PLLC
Physician Assistant in West Des Moines, IA. National Provider Identifier 1003752080, active.
NPI record
| NPI | 1003752080 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 950 Office Park Rd Ste 221, West Des Moines, IA 50265 |
| Practice phone | 515-207-9693 |
| Mailing address | 514 Twitchell Hill Rd, Shaftsbury, VT 05262 |
| Enumerated | April 24, 2026 |
| Last updated | April 24, 2026 |
| Authorized official | Scott Arno, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.