Active NPI
Brandon Schornack, DO
- Allergy & Immunology Physician
- Bethesda, MD
National Provider Identifier
1225497738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 1720
- Practice address
- 8901 Wisconsin Ave
Allergy/Immunology Clinic, Building 19
Bethesda, MD 20814 - Phone
- (301) 295-4000
- NPI assigned
- Feb 12, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 1720 | NE | |
| Allergy & Immunology Physician | 207K00000X | 1720 | NE | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Allergy/Immunology Clinic, Building 19
Bethesda, MD 20814
Mailing address
8901 Wisconsin Ave
Allergy/Immunology Clinic, Building 19
Bethesda, MD 20814
Phone (301) 295-4000
Other practice location 1
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 98431-1000
Phone (253) 968-1330
Other practice location 2
1585 3rd St
Fort Polk, LA 71459-5102
Phone (337) 531-3942
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | TRICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220330000952 | NE | Order and Referring Only - Pediatric Medicine | 8426444597 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1720 | NE | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1225497738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "ALLERGY/IMMUNOLOGY CLINIC, BUILDING 19",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "ALLERGY/IMMUNOLOGY CLINIC, BUILDING 19",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20814",
"telephone_number": "301-295-4000"
}
],
"practiceLocations": [
{
"address_1": "9040 Fitzsimmons Dr",
"address_purpose": "LOCATION",
"city": "Joint Base Lewis McChord",
"state": "WA",
"postal_code": "984311000",
"country_code": "US",
"telephone_number": "253-968-1330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1585 3rd St",
"address_purpose": "LOCATION",
"city": "Fort Polk",
"state": "LA",
"postal_code": "714595102",
"country_code": "US",
"telephone_number": "337-531-3942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHORNACK",
"first_name": "BRANDON",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-12",
"last_updated": "2023-08-09",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NE",
"license": "1720",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NE",
"license": "1720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "NA",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "1585 3rd St",
"city": "Fort Polk",
"state": "LA",
"country_code": "US",
"postal_code": "714595102",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.