Individual provider Active NPI

Laura Jean Brand, M.D.

  • Family Medicine Physician
  • Waynesboro, VA
National Provider Identifier
1184842551
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101050827 Issued in VA
Practice address
2014 Goose Creek Rd
Suite 106
Waynesboro, VA 22980-6588
Phone
(540) 932-7627
Fax
(866) 380-7359
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101050827 VA Primary

Addresses

Primary practice location

2014 Goose Creek Rd
Suite 106
Waynesboro, VA 22980-6588

Mailing address

2014 Goose Creek Rd
Suite 106
Waynesboro, VA 22980-6588
Phone (540) 932-7627

Other identifiers 1

IdentifierTypeStateIssuer
349306OtherVAANTHEM BCBS

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
I20071203000688 VA Practitioner - Family Practice 2961591649 Practice locations: Waynesboro, VA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101050827VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1184842551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 GOOSE CREEK RD",
            "address_2": "SUITE 106",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806588",
            "telephone_number": "540-932-7627",
            "fax_number": "866-380-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 GOOSE CREEK RD",
            "address_2": "SUITE 106",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806588",
            "telephone_number": "540-932-7627",
            "fax_number": "866-380-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAND",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101050827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "349306",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

Verify at the official NPI Registry.