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DR. VINCENT GREGORY BOLUS MD
NPI 1063198943
Internal Medicine in Charleston, SC

Active since June 26, 2023PECOS Enrolled
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425(843) 792-1414 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vincent Gregory Bolus Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. VINCENT GREGORY BOLUS MD (NPI 1063198943) is an individual internal medicine provider in Charleston, South Carolina, licensed in South Carolina (LL90328) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063198943
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VINCENT GREGORY BOLUSCredential: MD
Location Address169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333Charleston, SC 29425
Mailing Address169 Ashley Ave Room 202 Main Hospital Msc333Charleston, SC 29425 · (843) 792-1414
Phone(843) 792-1414
Sole ProprietorYes
Enumeration DateJune 26, 2023
NPPES CertifiedJune 25, 2023
✔ NPI 1063198943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in SC · LL90328
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333, Charleston, SC 29425
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Vincent Gregory Bolus Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29425 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAELA YOONSAU LEE MD
Obstetrics & Gynecology
169 ASHLEY AVE ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC 29425
Charleston County (843) 270-6814

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vincent Bolus's NPI number?

The NPI number for Vincent Bolus is 1063198943. It was assigned to this individual provider in the NPPES registry on June 26, 2023.

Where is Vincent Bolus located?

Vincent Bolus practices at 169 Ashley Ave Room 202 Main Hospital Msc333, Charleston, SC 29425. The listed phone number is (843) 792-1414.

What is Vincent Bolus's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vincent Bolus enrolled in Medicare?

Yes. Vincent Bolus is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vincent Bolus was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.