Active NPI
Susan Jean Brandt, M.D.
- Anesthesiology Physician
- Winston Salem, NC
National Provider Identifier
1326091646
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(14) exclusion effective Mar 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME87372
- Practice address
- 5026 Peters Creek Pkwy
Winston Salem, NC 27127-7276 - Phone
- (352) 442-3112
- NPI assigned
- May 18, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME87372 | FL | Primary |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | ME87372 | FL |
Addresses
Primary practice location
5026 Peters Creek Pkwy
Winston Salem, NC 27127-7276
Mailing address
5026 Peters Creek Pkwy
Winston Salem, NC 27127-7276
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71376 | Other | FL | BLUE CROSS BLUE SHIELD |
| 71376W | Other | FL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
| American Medical Care | Anesthesiology | Past | Accepting new patients |
| Sebastian River Anesthesiology Associates, P. a. | Anesthesiology | Past | Accepting new patients |
| Peace River Anesthesiology Associates PA | 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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Hudson, FL
- NPI 1689785727
-
- Anesthesiology Physician
- Zephyrhills, FL
- NPI 1205887247
-
- Specialist
- Punta Gorda, FL
- NPI 1497737654
-
- Specialist
- Sebastian, FL
- NPI 1730161993
Anesthesiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198800000000",
"number": "1326091646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5026 PETERS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271277276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5026 PETERS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271277276",
"telephone_number": "352-442-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "SUSAN",
"middle_name": "JEAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2007-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME87372",
"primary": true
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "FL",
"license": "ME87372",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "71376",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "71376W",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.