Active NPI
Orthocarolina
- Orthopaedic Surgery Physician
- Mount Airy, NC
National Provider Identifier
1982020202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 38865
- Legal business name
- ORTHOCAROLINA
- Practice address
- 1908 Caudle Dr Ste 103
Mount Airy, NC 27030-4322 - Phone
- (336) 659-3705
- NPI assigned
- Mar 11, 2014
- Last updated
- Oct 7, 2026
- 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
- Mr. Brent Shear
- Title
- Cfo
- Phone
- (704) 323-2222
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 38865 | NC | Primary |
| Orthopaedic Surgery Physician | 207X00000X | |||
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 38865 | NC | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 38865 | NC | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 38865 | NC | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 38865 | NC | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | 38865 | NC | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 38865 | NC | |
| Physical Therapist | 225100000X | 38865 | NC | |
| Occupational Therapist | 225X00000X | 38865 | NC | |
| Physician Assistant | 363A00000X | 38865 | NC |
Addresses
Primary practice location
1908 Caudle Dr Ste 103
Mount Airy, NC 27030-4322
Mailing address
4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031122000126 | NC | Part B Supplier - Clinic/Group Practice | 2062316821 |
Receives reassigned benefits from 484 practitioners This NPI is an additional NPI on the enrollment Practice locations: Kernersville, NC; King, NC; Laurinburg, NC; Lincolnton, NC; Matthews, NC; Monroe, NC; Mooresville, NC; Pembroke, NC… |
| O20170720000893 | NC | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 2062316821 | Practice locations: King, NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Concord, NC
- NPI 1245636414
-
- Physician Assistant
- Laurinburg, NC
- NPI 1699801142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791331200000",
"number": "1982020202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 PARK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282092290",
"telephone_number": "704-323-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1908 CAUDLE DR STE 103",
"city": "MOUNT AIRY",
"state": "NC",
"postal_code": "270304322",
"telephone_number": "336-659-3705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORTHOCAROLINA",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-11",
"last_updated": "2026-10-07",
"certification_date": "2026-10-07",
"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",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "38865",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "NC",
"license": "38865",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "NC",
"license": "38865",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mount Airy, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.