Active NPI
Perry & Barron Orthopedics & Sports Medicine, PA
- Specialist
- Charlotte, NC
National Provider Identifier
1891717476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 26968
- Legal business name
- PERRY & BARRON ORTHOPEDICS & SPORTS MEDICINE, PA
- Practice address
- 2826 Randolph Rd
Charlotte, NC 28211-1019 - Phone
- (704) 358-0308
- NPI assigned
- Jul 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenn Bradford Perry, M.D.
- Title
- President
- Phone
- (704) 358-0308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 26968 | NC | Primary |
Addresses
Primary practice location
2826 Randolph Rd
Charlotte, NC 28211-1019
Mailing address
2826 Randolph Rd
Charlotte, NC 28211-1019
Phone (704) 358-0308
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89013E5 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891717476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111019",
"telephone_number": "704-358-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2826 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111019",
"telephone_number": "704-358-0308"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERRY & BARRON ORTHOPEDICS & SPORTS MEDICINE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "GLENN",
"authorized_official_middle_name": "BRADFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "704-358-0308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NC",
"license": "26968",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89013E5",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- John Fitzgerald Perrin, M.D.
- Anthony M Perrino, DDS
- Jaclyn Marie Perrotta, PHARM.D
- Perry & Barron Orthopedics & Sports Medicine PA
- Perry & Barron Orthopedics & Sports Medicine, PA
- Perry Counseling Healing and Recovery PLLC
- Perry T Sowell Jr DDS PA
- Perry Wellness Counseling, PLLC
- Alyssa Perry
- Andrew Christopher Perry
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.