Active NPI
Brandi Rae Senior, PA-C
- Medical Physician Assistant
- La Plata, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C0004239
- Practice address
- 16 N la Plata CT
La Plata, MD 20646-4283 - Phone
- (301) 392-3330
- Fax
- (301) 392-3950
- NPI assigned
- Apr 25, 2008
- Last updated
- Aug 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | C0004239 | MD | Primary |
Addresses
Primary practice location
16 N la Plata CT
La Plata, MD 20646-4283
Mailing address
7250 Parkway Dr
Ste 500
Hanover, MD 21076-1343
Phone (443) 949-0814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01658288 | Other | MD | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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)
110 Hospital Rd
Suite 214
Prince Frederick, MD 20678-4040
Phone (410) 648-2439
1130 Annapolis Rd
Suite 100
Odenton, MD 21113-1622
Phone (410) 672-2255
130 Lubrano Dr
Suite 112
Annapolis, MD 21401-7192
Phone (410) 672-2255
41680 Miss Bessie Dr
Suite 303
Leonardtown, MD 20650-2965
Phone (410) 648-2439
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Maryland Pain Management, LLC | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current | Accepting new patients | |
| Emergency Medicine Associates PA | Current | Accepting new patients | |
| Maryland Inpatient Care Specialists LLC | Past | Accepting new patients |
Locations
130 Lubrano Dr
Ste 112
Annapolis, MD 21401
Phone (443) 837-7600
6427 Baltimore National Pike
Catonsville, MD 21228
Phone (410) 648-2439
6220 Old Dobbin Ln
Ste 200
Columbia, MD 21045
Phone (410) 964-5300
3168 Braverton St
Ste 250
Edgewater, MD 21037
Phone (410) 956-1600
8186 Lark Brown Rd
Ste 302
Elkridge, MD 21075
Phone (410) 799-4232
7845 Oakwood Rd
Ste 201
Glen Burnie, MD 21061
Phone (410) 582-8039
8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608
41680 Miss Bessie Dr
Ste 303
Leonardtown, MD 20650
Phone (240) 256-3711
1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962
110 Hospital Rd
Ste 214
Prince Frederick, MD 20678
Phone (410) 535-7530
301 Steeple Chase Dr
Ste 103
Prince Frederick, MD 20678
Phone (301) 862-3338
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
Organizations & group practices 8
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.
-
- Pain Medicine (Anesthesiology) Physician
- Odenton, MD
- NPI 1710312723
-
- Hospitalist Physician
- Annapolis, MD
- NPI 1427343664
-
- Hospitalist Physician
- Prince Frederick, MD
- NPI 1033404207
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
DC
-
- Pain Medicine (Anesthesiology) Physician
- Annapolis, MD
- NPI 1346135902
-
- Internal Medicine Physician
- Culpeper, VA
- NPI 1881559102
-
- Hospitalist Physician
- Alexandria, VA
- NPI 1932948114
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1255417200
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MedStar St. Mary's Hospital
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1346415890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7250 PARKWAY DR",
"address_2": "STE 500",
"city": "HANOVER",
"state": "MD",
"postal_code": "210761343",
"telephone_number": "443-949-0814",
"fax_number": "443-949-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 N LA PLATA CT",
"city": "LA PLATA",
"state": "MD",
"postal_code": "206464283",
"telephone_number": "301-392-3330",
"fax_number": "301-392-3950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENIOR",
"first_name": "BRANDI",
"middle_name": "RAE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-25",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C0004239",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01658288",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Plata, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.