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Bomray Medical Clinic

Primary Care Clinic/Center in Charlotte, NC · enumerated 2006 · authorized official Jerri Olszewski, Billing Representative.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013974864

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Registry record

Entity type Organization (Type 2)
Legal business name Bomray Medical Clinic
Other name <Unavail>
Practice address 3627 Beatties Ford Rd, Charlotte, NC, 28216
Phone (704) 335-0806
Fax (704) 334-2073
Enumeration date Apr 26, 2006
Last updated in NPPES Jul 20, 2010

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary
261QH0100X Health Service Clinic/Center Ambulatory Health Care Facilities Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
261QS1000X Student Health Clinic/Center Ambulatory Health Care Facilities Secondary
261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Jerri Olszewski
Title Billing Representative
Phone (704) 335-0806

Other identifiers

Identifier Type State Issuer
890271W Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bomray Medical Clinic?
The NPI for Bomray Medical Clinic is 1013974864, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bomray Medical Clinic?
NPPES lists Jerri Olszewski (Billing Representative) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-07-20.