Active NPI
Alexandra Seaborg Bare
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-16195
- Practice address
- 15830 Ballantyne Medical PL Ste 175
Charlotte, NC 28277-0763 - Phone
- (704) 323-7633
- Fax
- (704) 709-5384
- NPI assigned
- Apr 28, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-16195 | NC | Primary |
Addresses
Primary practice location
15830 Ballantyne Medical PL Ste 175
Charlotte, NC 28277-0763
Mailing address
15830 Ballantyne Medical PL Ste 175
Charlotte, NC 28277-0763
Phone (704) 323-7633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260309000294 | NC | Practitioner - Physician Assistant | 1052894045 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Specialists of the Carolinas PLLC
Practice addresses (Care Compare)
101 E W T Harris Blvd
Suite 5201
Charlotte, NC 28262-3422
Phone (704) 547-1495
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-16195 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urology Specialists of the Carolinas PLLC | Current | Accepting new patients |
Locations
15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633
101 E Wt Harris Blvd
Ste 5201
Charlotte, NC 28262
Phone (704) 547-1495
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1346038643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15830 BALLANTYNE MEDICAL PL STE 175",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770763",
"telephone_number": "704-323-7633",
"fax_number": "704-709-5384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15830 BALLANTYNE MEDICAL PL STE 175",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282770763",
"telephone_number": "704-323-7633",
"fax_number": "704-709-5384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARE",
"first_name": "ALEXANDRA",
"middle_name": "SEABORG",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-04-28",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-16195",
"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 Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.