Individual provider Active NPI

Glenn M Brammer, MD

  • Clinical Cardiac Electrophysiology Physician
  • Fishersville, VA
National Provider Identifier
1083822522
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101254888 Issued in VA
Practice address
78 Medical Center Dr
Heart and Vascular Center, 2ND Floor
Fishersville, VA 22939-2332
Phone
(540) 245-7080
Fax
(540) 245-7081
NPI assigned
May 18, 2007
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2011-00493 NC
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101254888 VA Primary

Addresses

Primary practice location

78 Medical Center Dr
Heart and Vascular Center, 2ND Floor
Fishersville, VA 22939-2332

Mailing address

PO Box 388
Fishersville, VA 22939-0388
Phone (540) 245-7080

Other identifiers 1

IdentifierTypeStateIssuer
5917838MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address glenn.brammer.1@14718.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131022000012 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5799954434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
JC Edwards School of Medicine, Marshall University, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Augusta Health Care IncGroup PAC ID 1355248212, 63 clinicians
Augusta Medical GroupGroup PAC ID 3678632544, 409 clinicians

Practice addresses (Care Compare)

78 Medical Ctr Dr
Fishersville, VA 22939-2332
Phone (540) 245-7216

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-00493NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc CurrentSince Oct 9, 2013 Accepting new patients
Augusta Medical Group CurrentSince Sep 4, 2013 Accepting new patients
Augusta Health Care, Inc. CurrentSince Oct 9, 2013 Accepting new patients
Augusta Medical Group CurrentSince Sep 4, 2013 Accepting new patients

Locations

540 Radford Ln
Ste 250
Charlottesville, VA 22903
Phone (434) 823-7596

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

78 Medical Center Dr
Fl 2
Fishersville, VA 22939
Phone (540) 245-7080

78 Medical Center Dr
Fl 3
Fishersville, VA 22939

644 University Blvd
Harrisonburg, VA 22801
Phone (540) 564-5100

30 Greenhouse Rd
Lexington, VA 24450
Phone (540) 464-3465

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14718/brand/4/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1083822522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229390388",
            "telephone_number": "540-245-7080",
            "fax_number": "540-245-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MEDICAL CENTER DR",
            "address_2": "HEART AND VASCULAR CENTER, 2ND FLOOR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392332",
            "telephone_number": "540-245-7080",
            "fax_number": "540-245-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMER",
        "first_name": "GLENN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2011-00493",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101254888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917838",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "glenn.brammer.1@14718.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "78 Medical Center Dr",
            "address_2": "Heart and Vascular Center, 2nd Floor",
            "city": "Fishersville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "229392332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fishersville, VA

Sources for this page

Verify at the official NPI Registry.