Orthocarolina
Organization Active NPI Orthopaedic Surgery Physician · Charlotte, NC
NPI 1104843978 · NPPES record last updated Jul 31, 2025
Key facts
- NPI
- 1104843978
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- Legal business name
- ORTHOCAROLINA
- Practice address
- 15825 Ballantyne Medical PL Ste 100
Charlotte, NC 28277-0745 - Phone
- (704) 323-2000
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Brent Shear
- Title
- Cfo
- Phone
- (704) 323-2000
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 30
Practitioners 210
-
Eddie Dean Davis, PAC
-
Andrew Keith Hylton, PA-C
-
Steven James Lawson, P.A.
-
Walter James Rumfelt, PA-C
-
Richard Edwin Alexander, M.D.
-
Sarah Anderson, PA-C
-
Macy Barclay, PT, DPT
-
Max Frederick Bergstrom, PA-C
-
Janice Kay Blazey, MPT
-
Rebekah Bolick, FNP
-
Brian Wayne Bowman, PA-C
-
Ryan McDonough Bowser, PA-C
-
Michael John Buscema, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031122000126 | NC | Part B Supplier - Clinic/Group Practice | 2062316821 |
Receives reassigned benefits from 484 practitioners This NPI is an additional NPI on the enrollment Practice locations: Kernersville, NC; King, NC; Laurinburg, NC; Lincolnton, NC; Matthews, NC; Monroe, NC; Mooresville, NC; Pembroke, NC… |
| O20100930010350 | NC | DME Supplier - Physician - General Practice | 2062316821 |
1 other NPI on this enrollment Practice locations: Charlotte, NC |
National Provider Directory
- Tax ID family
- Charlotte Orthopedics
Locations (25 of 35)
3541 Randolph Rd
#100W
Charlotte, NC 28211
Phone (980) 321-0205
3541 Randolph Rd
Ste 100
Charlotte, NC 28211
Phone (704) 323-2500
5935 Carnegie Blvd
Ste 140
Charlotte, NC 28209
1001 Blythe Blvd
Ste 200B
Charlotte, NC 28203
15825 Ballantyne Medical Pl
Ste 120
Charlotte, NC 28277
Phone (704) 323-3409
2001 Randolph Rd
Ste 110
Charlotte, NC 28207
2001 Vail Ave
Ste 320
Charlotte, NC 28207
Phone (704) 333-0741
3541 Randolph Rd
Ste 210
Charlotte, NC 28211
Phone (704) 381-8336
15825 Ballantyne Medical Pl
#10
Charlotte, NC 28277
4601 Park Rd
Ste 250
Charlotte, NC 28209
Phone (704) 323-3820
1915 Randolph Rd
Fl 3
Charlotte, NC 28207
Phone (704) 323-2543
1915 Randolph Rd
#2
Charlotte, NC 28207
2001 Vail Ave
Ste 200B
Charlotte, NC 28207
Phone (704) 323-3668
9203 S Tryon St
Charlotte, NC 28273
3541 Randolph Rd
Ste 100W
Charlotte, NC 28211
Phone (704) 323-2500
1915 Randolph Rd
#1
Charlotte, NC 28207
5935 Carnegie Blvd
Ste 200140
Charlotte, NC 28209
325 Copperfield Blvd NE
Concord, NC 28025
7482 Waterside Crossing Blvd
Ste 102
Denver, NC 28037
Phone (704) 489-8221
74 8th St SE
Ste 101
Hickory, NC 28602
Phone (828) 228-9972
10030 Gilead Rd
Ste 160
Huntersville, NC 28078
10315 Hamptons Park Dr
Huntersville, NC 28078
Phone (704) 323-2800
16455 Statesville Rd
Ste 102
Huntersville, NC 28078
Phone (704) 323-2809
445 Pineview Dr
Kernersville, NC 27284
Phone (336) 277-8800
280 Broad St
Ste E
Kernersville, NC 27284
Phone (336) 277-6050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | Yes | ||
| Pediatric Orthopaedic Surgery Physician |
207XP3100X | |||
| Orthopaedic Hand Surgery Physician |
207XS0106X | |||
| Adult Reconstructive Orthopaedic Surgery Physician |
207XS0114X | |||
| Orthopaedic Surgery of the Spine Physician |
207XS0117X | |||
| Orthopaedic Foot and Ankle Surgery Physician |
207XX0004X | |||
| Sports Medicine (Orthopaedic Surgery) Physician |
207XX0005X | |||
| Orthopaedic Trauma Physician |
207XX0801X | |||
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
15825 Ballantyne Medical PL Ste 100
Charlotte, NC 28277-0745
Mailing address
PO Box 602179
Charlotte, NC 28260-2179
Phone (704) 323-2000
Other providers in Charlotte, NC
- Ortho Pros Express, Inc
- Ortho Sport & Spine Physicians Charlotte
- Ortho Sport & Spine Physicians of North Carolina, PLLC
- Orthocare Oral Surgery
- Orthocarolina
- Orthocarolina
- Orthocarolina
- Orthocarolina
- Orthocarolina
- Orthocarolina
All providers in Charlotte, NC · Orthopaedic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 31, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.