Active NPI
Christine M Bolen, MD
- Pediatric Hematology & Oncology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- 2007-01081
- Practice address
- 301 Hawthorne LN
Suite 100
Charlotte, NC 28204-2450 - Phone
- (704) 384-1900
- Fax
- (704) 384-1919
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Hematology & Oncology Physician | 2080P0207X | 2007-01081 | NC | Primary |
| Pediatrics Physician | 208000000X | D0062257 | MD |
Addresses
Primary practice location
301 Hawthorne LN
Suite 100
Charlotte, NC 28204-2450
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1900
Other practice location 1
125 Queens Rd Ste 640
Charlotte, NC 28204-3580
Phone (980) 302-6761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N81007 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cbolen14812@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062257 | MD | MD | Pediatrics Physician |
| 2007-01081 | NC | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| The Presbyterian Hospital | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Past | Accepting new patients |
Locations
301 Hawthorne Ln
Ste 100
Charlotte, NC 28204
Phone (704) 384-1900
6324 Fairview Rd
Ste 330
Charlotte, NC 28210
Phone (704) 316-1950
335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390
Organizations & group practices 4
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.
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- NPI 1053365817
-
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- NPI 1205170800
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1740169820
-
- Interventional Cardiology Physician
- Charlotte, NC
- NPI 1205836434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1750439345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-384-1900",
"fax_number": "704-384-1919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 HAWTHORNE LN",
"address_2": "SUITE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042450",
"telephone_number": "704-384-1900",
"fax_number": "704-384-1919"
}
],
"practiceLocations": [
{
"address_1": "125 Queens Rd Ste 640",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043580",
"country_code": "US",
"telephone_number": "980-302-6761",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOLEN",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "NC",
"license": "2007-01081",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0062257",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N81007",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cbolen14812@direct.novanthealth.org",
"affiliation": "N",
"address_1": "301 Hawthorne Ln",
"address_2": "Suite 100",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282042450",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.