Active NPI
Carla Maria Brandt, M.D.
- Neurology Physician
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01040814A
- Practice address
- 1312 Professional Blvd Ste 201
Evansville, IN 47714-8019 - Phone
- (812) 476-7523
- NPI assigned
- Jul 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01040814A | IN | Primary |
Addresses
Primary practice location
1312 Professional Blvd Ste 201
Evansville, IN 47714-8019
Mailing address
1312 Professional Blvd Ste 201
Evansville, IN 47714-8019
Other practice location 1
3700 Washington Ave
Evansville, IN 47714-0541
Phone (812) 476-7523
Other practice location 2
801 Saint Marys Dr Ste 400E
Evansville, IN 47714-0524
Phone (812) 476-7523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100329890A | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carla.brandt.1@7598.direct.athenahealth.com | St Mary's Medical Group, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Texas Medical Branch at Galveston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 Washington Ave
Evansville, IN 47714-0541
801 Saint Marys Dr
Evansville, IN 47714-0524
801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| St Mary'S Medical Group, LLC | Current | Accepting new patients | |
| St. Mary'S Health, Inc | Neurology | Past | Accepting new patients |
Locations
801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236
1312 Professional Blvd
Ste 201
Evansville, IN 47714
Phone (812) 476-7523
3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021
801 Saint Marys Dr
Ste 400
Evansville, IN 47714
Phone (812) 477-0900
801 Saint Marys Dr
Ste 400E
Evansville, IN 47714
Phone (812) 476-7523
Organizations & group practices 3
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.
-
dba Ascension Medical Group St. Vincent Evansville
- Family Medicine Physician
- Evansville, IN
- NPI 1164852539
-
dba Ascension Medical Group St. Vincent Evansville
- Nephrology Physician
- Evansville, IN
- NPI 1619307873
-
dba Ascension St. Vincent Evansville
- Internal Medicine Physician
- Evansville, IN
- NPI 1497706287
Neurology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
-
dba Center for Therapy and Sports Performance
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
-
dba Ascension St. Vincent Evansville
- General Acute Care Hospital
- Evansville, IN
- NPI 1427082957
-
dba Ascension St. Vincent Warrick
- Critical Access Hospital
- Boonville, IN
- NPI 1205828803
-
dba Owensboro Health Regional Hospital
- General Acute Care Hospital
- Owensboro, KY
- NPI 1285613612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715644800000",
"number": "1043210438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 PROFESSIONAL BLVD STE 201",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 PROFESSIONAL BLVD STE 201",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477148019",
"telephone_number": "812-476-7523"
}
],
"practiceLocations": [
{
"address_1": "3700 Washington Ave",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140541",
"country_code": "US",
"telephone_number": "812-476-7523",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 Saint Marys Dr Ste 400E",
"address_purpose": "LOCATION",
"city": "Evansville",
"state": "IN",
"postal_code": "477140524",
"country_code": "US",
"telephone_number": "812-476-7523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "CARLA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-28",
"last_updated": "2024-05-14",
"certification_date": "2024-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01040814A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100329890A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carla.brandt.1@7598.direct.athenahealth.com",
"affiliation": "Y",
"affiliationName": "St Mary's Medical Group, LLC",
"address_1": "1312 Professional Blvd Ste 201",
"city": "Evansville",
"state": "IN",
"country_code": "US",
"postal_code": "477148019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.