Active NPI
Brandon Carter McDuffie, PA-C
- Physician Assistant
- Manchester, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1918
- Practice address
- 87 McGregor St Ste 2100
Manchester, NH 03102-3767 - Phone
- (603) 626-7546
- Fax
- (603) 626-7548
- NPI assigned
- Oct 9, 2008
- Last updated
- Oct 19, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1918 | NH | Primary |
Addresses
Primary practice location
87 McGregor St Ste 2100
Manchester, NH 03102-3767
Mailing address
526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010
Other practice location 1
2 Pillsbury St Ste 501
Concord, NH 03301-3576
Phone (603) 333-2908
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016128300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Pillsbury St
Suite 501
Concord, NH 03301-3576
Phone (603) 333-2908
87 McGregor St
Suite 2100
Manchester, NH 03102-3767
Phone (603) 626-7546
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1918 | NH | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ap Derm New Hampshire PC | Past | Accepting new patients | |
| Leavitt Medical Associates of Florida Inc | Past | Accepting new patients | |
| Skin Care Physicians | Past | Accepting new patients |
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.
-
- Dermatology Physician
- Manchester, NH
- NPI 1154794261
-
dba Advanced Dermatology and Cosmetic Surgery
- Dermatology Physician
- Orlando, FL
- NPI 1316105885
-
dba Boynton Beach Skin Institute
- Dermatology Physician
- Boynton Beach, FL
- NPI 1417099342
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Concord, NH
- NPI 1215988530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666137600000",
"number": "1225289168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 MAIN ST STE 302",
"city": "ACTON",
"state": "MA",
"postal_code": "017203301",
"telephone_number": "978-371-7010",
"fax_number": "978-371-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MCGREGOR ST STE 2100",
"city": "MANCHESTER",
"state": "NH",
"postal_code": "031023767",
"telephone_number": "603-626-7546",
"fax_number": "603-626-7548"
}
],
"practiceLocations": [
{
"address_1": "2 Pillsbury St Ste 501",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NH",
"postal_code": "033013576",
"country_code": "US",
"telephone_number": "603-333-2908",
"fax_number": "603-715-8987",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDUFFIE",
"first_name": "BRANDON",
"middle_name": "CARTER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-09",
"last_updated": "2022-10-19",
"certification_date": "2022-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NH",
"license": "1918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016128300",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.