Bomray Medical Clinic
NPI 1013974864 · Primary Care Clinic/Center · Charlotte, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bomray Medical Clinic is a Primary Care Clinic/Center organization in Charlotte, NC (NPI 1013974864).
Provider details
- NPI number
- 1013974864
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerri Olszewski, Billing Representative(704) 335-0806
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
- Student Health Clinic/Center261QS1000X
Ambulatory Health Care Facilities
- Urgent Care Clinic/Center261QU0200X
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Primecare Medical Center
Registry dates
- Enumerated
- 2006-04-26
- Last updated
- 2010-07-20
Frequently asked questions
- What is Bomray Medical Clinic's NPI number?
- Bomray Medical Clinic's National Provider Identifier (NPI) is 1013974864, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bomray Medical Clinic?
- Bomray Medical Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bomray Medical Clinic located?
- Bomray Medical Clinic's practice location on file with NPPES is 3627 Beatties Ford Rd, Charlotte, NC 28216-3249.
- What is Bomray Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Bomray Medical Clinic is (704) 335-0806.
- Does Bomray Medical Clinic accept Medicare?
- Bomray Medical Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bomray Medical Clinic?
- The authorized official listed on Bomray Medical Clinic's NPPES record is Jerri Olszewski, Billing Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bomray Medical Clinic's NPI active?
- Yes — Bomray Medical Clinic's NPI (1013974864) is active in the NPPES registry as of the last update on 2010-07-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.