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RICHARD BOULWARE P.A.
NPI 1124144043
Physician Assistant - Medical in Charlotte, NC

Active since March 22, 2007
1918 RANDOLPH RD, SUITE 400, CHARLOTTE, NC 28207(704) 384-9437(704) 384-9440 Get Directions Write a Review

NPPES record last updated: October 9, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Richard Boulware P.a. NPPES

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

RICHARD BOULWARE P.A. (NPI 1124144043) is an individual medical provider in Charlotte, North Carolina, licensed in South Carolina (786) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1124144043
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameRICHARD BOULWARECredential: P.A.
Location Address1918 RANDOLPH RD, SUITE 400Charlotte, NC 28207-1196
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-7840 · Fax (704) 384-7830
Phone(704) 384-9437
Fax(704) 384-9440
Sole ProprietorNo
Enumeration DateMarch 22, 2007
Last NPPES UpdateOctober 9, 2009
✔ NPI 1124144043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in SC · 786
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0010-01817 (NC)
1918 RANDOLPH RD, Charlotte, NC 28207
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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.

DR. SIMON VIVIAN WARD III M.D.
Obstetrics & Gynecology
1918 RANDOLPH RD, SUITE 670
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1620
ADAM F. SPITZ MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
JENNIFER LYNN KELSO MD
Emergency Medicine
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DICK A. RICHARDS PA-C
Physician Assistant
1918 RANDOLPH RD, SUITE 175
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1050
DR. RICHARD KLEINMANN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1918 RANDOLPH RD, SUITE 220
CHARLOTTE, NC 28207
Mecklenburg County (704) 316-1125
NALLE PHARMACY INC
Pharmacy (Clinic Pharmacy)
1918 RANDOLPH RD, SUITE 120
CHARLOTTE, NC 28207
Mecklenburg County (704) 342-8180
DERMATOLOGY LASER AND VEIN SPECIALISTS OF THE CAROLINA'S, PLLC
Dermatology
1918 RANDOLPH RD, SUITE 550
CHARLOTTE, NC 28207
Mecklenburg County (704) 375-6766
DR. WALTER WALLACE JOHNSON M.D.
Internal Medicine
1918 RANDOLPH RD, SUITE 350
CHARLOTTE, NC 28207
Mecklenburg County (704) 384-1750

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 Richard Boulware's NPI number?

The NPI number for Richard Boulware is 1124144043. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Richard Boulware located?

Richard Boulware practices at 1918 Randolph Rd Suite 400, Charlotte, NC 28207. The listed phone number is (704) 384-9437.

What is Richard Boulware's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Richard Boulware was last updated on October 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.