Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bianca R Perez, PA

Individual provider Physician Assistant · NPI 1578268470

Bianca R Perez, PA is a Physician Assistant in Charlotte, North Carolina. Graduated from State University of Ny Upstate Medical University in 2022, 4 years ago. Works from 5 locations. Licensed in North Carolina and New York.

Years since qualifying
4
Trained at
State University of Ny Upstate Medical University
Licensed in
NC, NY
In the registry since
2023
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9805 Sandy Rock Pl Ste E
Charlotte, NC 28277-7731
Phone: (980) 580-0468
Fax: (980) 580-0470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 138 E Genesee St, Baldwinsville, NY 13027-2793 — (315) 425-1431
  • 311 Green St, Syracuse, NY 13203-2911 — (315) 425-1431
  • 725 East Adams Street, Syracuse, NY 13210 — (315) 464-5240
  • 511 S Main St, Syracuse, NY 13212-2813 — (315) 425-1431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-14821 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 029979 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 029979 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 029979 (NY)

Record details

NPI number1578268470
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 3, 2023
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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