Active NPI
Bo Chigozie Nebolisa
- Cardiovascular Disease Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2022-00677
- Practice address
- 1237 Harding Place
Suite 3100
Charlotte, NC 28204 - Phone
- (704) 373-0212
- NPI assigned
- Mar 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2022-00677 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 2022-00677 | NC | Primary |
Addresses
Primary practice location
1237 Harding Place
Suite 3100
Charlotte, NC 28204
Mailing address
1237 Harding Place
Suite 3100
Charlotte, NC 28204
Phone (704) 373-0212
Other practice location 1
160 Dental Cir
Chapel Hill, NC 27599-2632
Phone (919) 966-5201
Other practice location 2
1430 Tulane Ave # Sl50
New Orleans, LA 70112-2632
Phone (540) 988-7809
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1237 Harding PL
Suite 3100
Charlotte, NC 28204-2826
Phone (704) 373-0212
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Cardiovascular Disease | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Cardiovascular Disease | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Past | Accepting new patients |
Locations
1237 Harding Pl
Unit 2100
Charlotte, NC 28204
Phone (704) 468-3055
1237 Harding Pl
Ste 3100
Charlotte, NC 28204
990 Lee Ann Dr NE
Concord, NC 28025
Phone (704) 441-0272
100 Medical Park Dr
Ste 210
Concord, NC 28025
Phone (704) 403-6100
134 Medical Park Rd
Ste 111
Mooresville, NC 28117
Phone (704) 801-9100
Interoperability endpoints
- bnebolisa106201@direct.unc.nchie.net
- bnebolisa3024995@carolinashealthcaresystem.direct-ci.com
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.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
Cardiovascular Disease
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Cardiovascular Disease Physician
- Concord, NC
- NPI 1710290564
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1417432840
-
- Rehabilitation Hospital Unit
- Charlotte, NC
- NPI 1962987131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1962906222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1237 HARDING PLACE",
"address_2": "SUITE 3100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-373-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 HARDING PLACE",
"address_2": "SUITE 3100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28204",
"telephone_number": "704-373-0212"
}
],
"practiceLocations": [
{
"address_1": "160 Dental Cir",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275992632",
"country_code": "US",
"telephone_number": "919-966-5201",
"fax_number": "919-966-1743",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 Tulane Ave # Sl50",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701122632",
"country_code": "US",
"telephone_number": "540-988-7809",
"fax_number": "504-988-3971",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEBOLISA",
"first_name": "BO",
"middle_name": "CHIGOZIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2025-08-05",
"certification_date": "2025-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2022-00677",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2022-00677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.