NPIMap

Individual provider Active NPI

Bo Jiang, M.D.

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
National Provider Identifier
1205199536
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2015-01692 Issued in NC
Practice address
2460 Curtis Ellis Dr BLDG 100
Rocky Mount, NC 27804-2237
Phone
(252) 962-2328
Fax
(252) 962-6291
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of North Carolina at Chapel Hill 2,028 clinicians
Unc Physicians Network LLC 985 clinicians
Cumberland County Hospital System Inc 581 clinicians

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

718 Ridge Rd
Roxboro, NC 27573-4508
Phone (919) 603-1665

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (910) 892-7161

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061
  • Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20160829001586 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7214256965 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201501692NCMDInternal Medicine Physician
2015-01692NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NHCS Physicians Inc Cardiovascular Disease CurrentSince Jan 30, 2023 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 24, 2017 Accepting new patients
Unc Physicians Network LLC CurrentSince Jun 1, 2019 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 24, 2017 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Jun 1, 2019 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
NHCS Physicians, Inc. CurrentSince Jan 30, 2023 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

300 Meadowmont Village Cir
Ste 313
Chapel Hill, NC 27517
Phone (919) 843-4070

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

800 Tilghman Dr
Dunn, NC 28334
Phone (910) 230-7800

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

215 Brightwater Dr
Lillington, NC 27546
Phone 9108921000 ext. 3007

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

2460 Curtis Ellis Dr
Bldg 100
Rocky Mount, NC 27804
Phone (252) 962-2328

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

901 N Winstead Ave
Ste 430
Rocky Mount, NC 27804
Phone (252) 962-6300

718 Ridge Rd
Roxboro, NC 27573
Phone (336) 330-0734

Interoperability endpoints

  • Direct secure messaging: bjiang127257@direct.unc.nchie.net

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 201501692 NC
Cardiovascular Disease Physician 207RC0000X 2015-01692 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

2460 Curtis Ellis Dr BLDG 100
Rocky Mount, NC 27804-2237

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other practice location 1

718 Ridge Rd
Roxboro, NC 27573-4508
Phone (336) 599-1077

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address bjiang127257@direct.UNC.nchie.net Direct
Direct Messaging Address bjiang127257@direct.UNC.nchie.net Direct NHCS Physicians Inc

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2023.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1205199536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 CURTIS ELLIS DR BLDG 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042237",
            "telephone_number": "252-962-2328",
            "fax_number": "252-962-6291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Roxboro",
            "state": "NC",
            "postal_code": "275734508",
            "country_code": "US",
            "telephone_number": "336-599-1077",
            "fax_number": "336-599-1794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIANG",
        "first_name": "BO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "201501692",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2015-01692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjiang127257@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "718 Ridge Rd",
            "city": "Roxboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275734508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjiang127257@direct.UNC.nchie.net",
            "affiliation": "Y",
            "affiliationName": "NHCS Physicians Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2460 Curtis Ellis Dr Bldg 100",
            "city": "Rocky Mount",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278042237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

Verify at the official NPI Registry.