Individual provider Active NPI

Julie Brandenburg McDowell, PA

  • Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1033232277
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101118 Issued in NC
Practice address
414 W Lebanon St
Mount Airy, NC 27030-2954
Phone
(336) 789-9492
Fax
(336) 789-9587
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101118 NC Primary

Addresses

Primary practice location

414 W Lebanon St
Mount Airy, NC 27030-2954

Mailing address

414 W Lebanon St
Mount Airy, NC 27030-2954
Phone (336) 789-9492

Other names 1

  • Julie Ellen Brandenburg McDowell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20040601000659 NC Practitioner - Physician Assistant 0244211639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

414 W Lebanon St
Mount Airy, NC 27030-2954
Phone (336) 789-9492

5171 Glenwood Ave
Suite 211
Raleigh, NC 27612-3266
Phone (919) 783-8898

619 Sullivan Rd
Statesville, NC 28677-3437
Phone (704) 871-0934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Easter Seals Ucp North Carolina & Virginia, Inc. Past Accepting new patients

Locations

414 W Lebanon St
Mount Airy, NC 27030
Phone (336) 789-9041

5171 Glenwood Ave
Ste 211
Raleigh, NC 27612
Phone (919) 210-7661

619 Sullivan Rd
Statesville, NC 28677
Phone (704) 871-0934

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1033232277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302954",
            "telephone_number": "336-789-9492",
            "fax_number": "336-789-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W LEBANON ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270302954",
            "telephone_number": "336-789-9492",
            "fax_number": "336-789-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "JULIE",
        "middle_name": "BRANDENBURG",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MCDOWELL",
            "middle_name": "ELLEN BRANDENBURG",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.