Individual provider Active NPI

Brandi Rae Senior, PA-C

  • Medical Physician Assistant
  • La Plata, MD
National Provider Identifier
1346415890
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0004239 Issued in MD
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01658288OtherMDRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20090430000149 DC Practitioner - Physician Assistant 5890843841 Reassigns benefits to 1 organization
I20101111000134 MD Practitioner - Physician Assistant 5890843841 Reassigns benefits to 3 organizations

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

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC CurrentSince Feb 7, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Mar 25, 2019 Accepting new patients
Emergency Medicine Associates PA CurrentSince Mar 25, 2019 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.