Organization Active NPI

Perry & Barron Orthopedics & Sports Medicine, PA

  • Specialist
  • Charlotte, NC
National Provider Identifier
1891717476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26968 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89013E5MedicaidNC

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.