Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Nicole Leigh Bolick, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285255166

Dr. Nicole Leigh Bolick, MD is a Dermatology in Charlotte, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2020, 6 years ago. Practices with Piedmont Plastic Surgery and Dermatology PA, a 57-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in North Carolina and New Mexico.

Years since qualifying
6
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC, NM
In the registry since
2020
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5815 Blakeney Park Dr Ste 100
Charlotte, NC 28277-5732
Phone: (704) 542-2220
Fax: (704) 542-3304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 309 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-2886 — (704) 344-8846
  • Msc07 4240 1 University Of New Mexico, Albuquerque, NM 87131-0001 — (505) 272-6000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 202500335 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence RS2022-0770 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NM)

Record details

NPI number1285255166
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2020
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Piedmont Plastic Surgery And Dermatology Pa — 57 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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