DR. GLENN BRADFORD PERRY (NPI# 1588660716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588660716 |
| Entity Type | Individual |
| Full Name | DR. GLENN BRADFORD PERRY |
| Credential | MD |
| Practice Address |
2826 Randolph Rd Charlotte NC 28211-1019 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043580308 |
| Practice Fax Number | 7043580039 |
| Mailing Telephone | 7043580308 |
| Mailing Fax Number | 7043580039 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2015-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 26968 | NC | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
26968 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8966884 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073621546 | Glenn Alan Perry | Marriage & Family Therapist | 360 Quietwood Dr, San Rafael, CA 94903-1338 | 2006-08-26 |
| Street Address |
2826 RANDOLPH RD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28211-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942858733 | Jonathan Oakes | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2019-08-27 |
| 1083127419 | Jodi Ann Arreguin | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2017-11-07 |
| 1659819126 | Lauren Scollin | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2017-02-06 |
| 1538601695 | Chelsea Parker | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2016-11-07 |
| 1437605169 | Select Physical Therapy | Clinic/Center | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211 | 2016-09-01 |
| 1861945156 | Justin R.n. Kocan | Physical Therapist | 2826 Randolph Rd, 2nd Floor, Charlotte, NC 28211-1386 | 2016-08-03 |
| 1265771505 | Kristine Ann Pumpa | Physical Therapist | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2013-02-06 |
| 1043581754 | Jeffrey Bennett | Specialist/Technologist | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2012-01-26 |
| 1306116421 | John Ryan Maynard | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2012-01-05 |
| 1598074718 | Elizabeth Anne Butler | Physician Assistant | 2826 Randolph Rd, Charlotte, NC 28211-1386 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184277832 | I and J Wheelchair Transportation | Non-emergency Medical Transport (VAN) | 1512 Delane Avenue, Charlotte, NC 28211 | 2019-07-22 |
| 1922563923 | The Charlotte-mecklenburg Hospital Authority | Psychiatry & Neurology | 447 Billingsley Rd, Cottage A, Charlotte, NC 28211 | 2019-02-04 |
| 1649798273 | Ally Home Care Charlotte LLC | In Home Supportive Care | 3711 Latrobe Drive Suite 520, Charlotte, NC 28211 | 2017-09-04 |
| 1154866770 | Vaibhav Bajaj | Dentist | 2809 Coltsgate Rd Ste 200, Charlotte, NC 28211 | 2017-01-05 |
| 1508254939 | Lindsay Marie Smits | Speech-Language Pathologist | 427 N. Wendover Rd., Charlotte, NC 28211 | 2015-01-08 |
| 1457755480 | Kristen Hammer | Physical Therapy Assistant | 4120 Providence Rd Apt D, Charlotte, NC 28211 | 2014-10-20 |
| 1669805610 | Carla Elizabeth Scott | Physical Therapist | 3500 Ellington Street, Dr. Carlton Watkins Center, Charlotte, NC 28211 | 2013-08-14 |
| 1760726368 | Jill Hensdale Shipp | Social Worker | 307 Hunter Lane, Charlotte, NC 28211 | 2012-11-20 |
| 1346592722 | Danielle Marie Benoit | Occupational Therapist | 3541 Randolph Road Suite 100 W, Charlotte, NC 28211 | 2012-10-09 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| Find all providers in zip 28211 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1467972927 | Orthocarolina, Pa | Orthopaedic Surgery | 5935 Carnegie Blvd Ste 200, Charlotte, NC 28209-4645 | 2017-06-26 |
| 1235662198 | Gill Orthopaedics of The Carolinas PC | Orthopaedic Surgery | 10512 Park Rd Ste 203, Charlotte, NC 28210-8476 | 2017-04-07 |
| 1891149910 | David Macknet | Orthopaedic Surgery | 1025 Morehead Medical Dr., Suite 300, Charlotte, NC 28204-2966 | 2016-04-14 |
| 1487910832 | John Joseph Marcel Jr. | Orthopaedic Surgery | 449 North Wendover Rd Ste A, Charlotte, NC 28211 | 2012-04-10 |
| 1316213747 | David A Feaker Jr. | Orthopaedic Surgery | 4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919 | 2012-03-29 |
| 1326366048 | Michael Ruffolo | Orthopaedic Surgery | 1025 Morehead Medical Dr Ste 300, Department of Orthopaedic Surgery, Charlotte, NC 28204-2966 | 2010-05-05 |
| 1366676454 | Michael Devon Bates | Orthopaedic Surgery | Orthocarolina, 9848 North Tryon Street, Charlotte, NC 28262-2826 | 2009-05-05 |
| 1558510438 | William C Graham | Orthopaedic Surgery | 6300 Carmel Rd Ste 140, Charlotte, NC 28226 | 2008-09-16 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.