Individual provider Active NPI

Christopher Allen Brandon, PA

  • Physician Assistant
  • Hagerstown, MD
National Provider Identifier
1255374906
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009520 Issued in NY
Practice address
251 E Antietam St
Washington County Hospital ER
Hagerstown, MD 21740-5724
Phone
(301) 790-8372
Fax
(301) 790-8851
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009520 NY Primary

Addresses

Primary practice location

251 E Antietam St
Washington County Hospital ER
Hagerstown, MD 21740-5724

Mailing address

251 E Antietam St
Washington County Hospital ER
Hagerstown, MD 21740-5724
Phone (301) 790-8372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091028000148 MD Practitioner - Physician Assistant 0941264675 Reassigns benefits to 5 organizations
I20120426000015 VA Practitioner - Physician Assistant 0941264675 Reassigns benefits to 2 organizations
I20210125002364 DC Practitioner - Physician Assistant 0941264675 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009520NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Alexandria Springfield Emergency Physicians PC Current Accepting new patients
Kent Queen Anne Pathology CurrentSince Aug 1, 2024 Accepting new patients
Alexandria Springfield Emergency Physicians PC CurrentSince Oct 9, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Home Medical Services PC Past Accepting new patients
Commonwealth Emergency Physicians PC Physician Assistant PastSince Apr 17, 2020 Accepting new patients
Transitioncare LLC Past Accepting new patients

Locations

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

Interoperability endpoints

  • Direct secure messaging: cbrandon1170167@direct.umm.edu

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1255374906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "address_2": "WASHINGTON COUNTY HOSPITAL ER",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724",
            "telephone_number": "301-790-8372",
            "fax_number": "301-790-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E ANTIETAM ST",
            "address_2": "WASHINGTON COUNTY HOSPITAL ER",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217405724",
            "telephone_number": "301-790-8372",
            "fax_number": "301-790-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALLEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.