NPIMap

Organization Active NPI

Orthocarolina, PA - Bundle Payment Program Section 4

  • Orthopaedic Surgery Physician
  • Charlotte, NC
National Provider Identifier
1245871102
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ORTHOCAROLINA, PA - BUNDLE PAYMENT PROGRAM SECTION 4
Practice address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone
(704) 323-2250
Fax
(704) 945-7679
NPI assigned
Oct 2, 2019
Organization subpart
Yes
Parent organization
ORTHOCAROLINA, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brent Shear
Title
Cfo
Phone
(704) 323-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

4601 Park Rd Ste 300
Charlotte, NC 28209-2290

Mailing address

PO Box 602179
Charlotte, NC 28260-2179
Phone (704) 323-2250

National Provider Directory

National Provider Directory
Tax ID family
Charlotte Orthopedics31 organizations share this tax ID, including this one
Part of
Charlotte Orthopedics

Other organizations with this tax ID 30

Organizations that report the same tax identification number in the National Provider Directory.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569974400000",
    "number": "1245871102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602179",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602179",
            "telephone_number": "704-323-2250",
            "fax_number": "704-945-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2250",
            "fax_number": "704-945-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOCAROLINA, PA - BUNDLE PAYMENT PROGRAM SECTION 4",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORTHOCAROLINA, PA",
        "enumeration_date": "2019-10-02",
        "last_updated": "2019-10-02",
        "status": "A",
        "authorized_official_last_name": "SHEAR",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-323-2222"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.