Organization Active NPI

Bradford OB/GYN

  • Ambulatory Women's Health Care Registered Nurse
  • Charlotte, NC
National Provider Identifier
1679400675
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Women's Health Care Registered NurseTaxonomy code 163WW0101X
Legal business name
BRADFORD OB/GYN
Practice address
12611 N Community House Rd
Charlotte, NC 28277-3816
Phone
(704) 973-2106
NPI assigned
May 5, 2026
Organization subpart
Yes
Parent organization
NOVANT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Kari Hyman, RN
Title
Triage RN
Phone
(704) 973-2106

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Perinatal Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP1700X
Ambulatory Women's Health Care Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WW0101X Primary

Addresses

Primary practice location

12611 N Community House Rd
Charlotte, NC 28277-3816

Mailing address

1158 Shelly Woods Dr
Indian Land, SC 29707-7789
Phone (909) 306-7522

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2297292Novant Health Bradford Clinic OB/GYN - Ballantyne12611 N Community House Rd, Suite 200, Charlotte, NC 28277Provider-performed microscopyJan 11, 2028

National Provider Directory

National Provider Directory
Part of
Bradford OBGYN

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1679400675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 SHELLY WOODS DR",
            "city": "INDIAN LAND",
            "state": "SC",
            "postal_code": "297077789",
            "telephone_number": "909-306-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 N COMMUNITY HOUSE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773816",
            "telephone_number": "704-973-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD OB/GYN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NOVANT HEALTH",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "TRIAGE RN",
        "authorized_official_telephone_number": "704-973-2106",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WP1700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Perinatal",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.