Individual provider Active NPI

Brandy Hogg-Duncan, NP

  • Nurse Practitioner
  • Richmond, IN
National Provider Identifier
1124474358
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28169890A Issued in IN
Practice address
1050 Reid Pkwy
Suite # 240
Richmond, IN 47374-1155
Phone
(765) 983-3410
Fax
(765) 983-3045
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28169890A IN Primary

Addresses

Primary practice location

1050 Reid Pkwy
Suite # 240
Richmond, IN 47374-1155

Mailing address

3645 E Main St
#270
Richmond, IN 47374-5934
Phone (765) 983-3410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160830002812 IN Practitioner - Nurse Practitioner 9830483080
I20200723001531 CA Practitioner - Nurse Practitioner 9830483080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sansum ClinicGroup PAC ID 3678471976, 320 clinicians

Practice addresses (Care Compare)

515 W Pueblo St
Santa Barbara, CA 93105-6212
Phone (805) 681-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28169890AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sansum Clinic CurrentSince Jun 26, 2023 Accepting new patients
Sansum Clinic CurrentSince Jun 26, 2023 Accepting new patients
Center for Pain Management LLC CurrentSince Aug 1, 2016 Accepting new patients
Sansum Clinic Current Accepting new patients
Sansum Clinic Past Accepting new patients
Santa Barbara Cottage Hospital Past Accepting new patients
Reid Hospital & Health Care Services, Inc Past Accepting new patients

Locations

515 W Pueblo St
Santa Barbara, CA 93105
Phone (805) 681-1760

215 Pesetas Ln
Santa Barbara, CA 93110
Phone (805) 681-1765

1475 E State Road 44
Connersville, IN 47331
Phone (765) 825-0800

3645 E Main St
Richmond, IN 47374

1050 Reid Pkwy
Ste 240
Richmond, IN 47374
Phone (765) 983-3410

Interoperability endpoints

  • Direct secure messaging: bhoggduncan760545@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1124474358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 E MAIN ST",
            "address_2": "#270",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473745934",
            "telephone_number": "765-983-3410",
            "fax_number": "765-983-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 REID PKWY",
            "address_2": "SUITE # 240",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741155",
            "telephone_number": "765-983-3410",
            "fax_number": "765-983-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGG-DUNCAN",
        "first_name": "BRANDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28169890A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

Verify at the official NPI Registry.