Carly R Brittingham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C0006857 Issued in MD

Practice address

12547 Ocean Gtwy
Ocean City, MD 21842-9689

Phone

(410) 213-0119

Fax

(410) 213-2875

NPI assigned

Aug 7, 2018

Last updated

Oct 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Injury and Illness Centers LLCGroup PAC ID 3870687536, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acute Injury and Illness Centers LLC

  dba West Ocean City Injury & Illness Center

  • Urgent Care Clinic/Center
  • Ocean City, MD
  • NPI 1548330343
  Medicare reassignment Care Compare group
• Access Primary Care LLC

  • Primary Care Clinic/Center
  • Ocean City, MD
  • NPI 1033550496
  Medicare reassignment
• Vel Natesan MD PA

  • Internal Medicine Physician
  • Salisbury, MD
  • NPI 1417978362
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1023597598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12547 OCEAN GTWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429689",
            "telephone_number": "410-213-0119",
            "fax_number": "410-213-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12547 OCEAN GTWY",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429689",
            "telephone_number": "410-213-0119",
            "fax_number": "410-213-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITTINGHAM",
        "first_name": "CARLY",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-07",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "C0006857",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0006857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "C0006857",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael C Boswell
• Kyle Bowen, PA-C
• Melissa Larae Braniff
• Jean Michele Brauning, D.M.D.
• Brenda Lee Brendel-Reckline, CAC-AD
• McKenna Noel Brodbeck, RDN, LDN
• William Brown
• Syed Wajid Hussain Bukhari, RPH.
• Sarah E. Buser, AC-P
• Gregory Clark Carson, D.M.D.

• Medical Physician Assistant in Ocean City, MD
• Providers in Ocean City, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.