MS. SUSAN LAYNE BOLLOM PA-C
NPI 1083720643
Physician Assistant in Salisbury, NC

Active since August 23, 2006
1601 BRENNER AVE, SALISBURY, NC 28144(704) 638-9000 Get Directions Write a Review

NPPES record last updated: March 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Susan Layne Bollom Pa-c NPPES

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

MS. SUSAN LAYNE BOLLOM PA-C (NPI 1083720643) is an individual physician assistant in Salisbury, North Carolina, licensed in Texas (PA01531) and active in the NPI registry since August 2006. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1083720643
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SUSAN LAYNE BOLLOMCredential: PA-C
Location Address1601 BRENNER AVESalisbury, NC 28144-2515
Mailing Address390 Nottingham DrLinwood, NC 27299-9049 · (704) 638-9000
Sole ProprietorYes
Enumeration DateAugust 23, 2006
Last NPPES UpdateMarch 26, 2018
NPI 1083720643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TX · PA01531
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 BRENNER AVE, Salisbury, NC 28144

Other Names 1

Other Name (5)Mrs. Susan Layne Rollins Bollom: Is Maiden

Secondary Practice Location 1

Location 12002 Holcombe BlvdHouston, TX 77030-4211 · Phone (713) 794-7101

Other Providers at the Same Location NPPES 20

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

Pharmacist
1601 BRENNER AVE
SALISBURY, NC 28144
Social Worker (Clinical)
1601 BRENNER AVE, 122
SALISBURY, NC 28144
Internal Medicine
1601 BRENNER AVE
SALISBURY, NC 28144
Social Worker (Clinical)
1601 BRENNER AVE, VA MEDICAL CENTER (122)
SALISBURY, NC 28144
Social Worker (Clinical)
1601 BRENNER AVE
SALISBURY, NC 28144
Optometrist
1601 BRENNER AVE
SALISBURY, NC 28144
Social Worker (Clinical)
1601 BRENNER AVE
SALISBURY, NC 28144
Pharmacist
1601 BRENNER AVE
SALISBURY, NC 28144

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 Susan Bollom's NPI number?

The NPI number for Susan Bollom is 1083720643. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Mrs. Susan Layne Rollins Bollom: Is Maiden.

Where is Susan Bollom located?

Susan Bollom practices at 1601 Brenner Ave, Salisbury, NC 28144. The listed phone number is (704) 638-9000.

What is Susan Bollom's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Susan Bollom was last updated on March 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.