Active NPI
Brandon Leroy Raudenbush, D.O.
- Orthopaedic Surgery Physician
- Chambersburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- OS015721
- Practice address
- 112 N 7TH St
Chambersburg, PA 17201-1720 - Phone
- (717) 263-1220
- Fax
- (717) 263-6255
- NPI assigned
- Nov 2, 2010
- Last updated
- Sep 10, 2021
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 272940 | NY | |
| Orthopaedic Surgery Physician | 207X00000X | 58003182 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | OS015721 | PA | Primary |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 34.010342 | OH |
Addresses
Primary practice location
112 N 7TH St
Chambersburg, PA 17201-1720
Mailing address
785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555
Other practice location 1
2422 Lake Ave
Ashtabula, OH 44004-4985
Phone (440) 997-2262
Other practice location 2
97 Progress Blvd
Shippensburg, PA 17257-9053
Phone (717) 263-1220
Other practice location 3
601 E Main St
Waynesboro, PA 17268-2332
Phone (717) 263-1220
Other practice location 4
24 Antrim Commons Dr
Greencastle, PA 17225-1623
Phone (717) 263-1220
Other practice location 5
2420 Lake Ave
Ashtabula, OH 44004-4954
Phone (440) 997-2262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0137995 | Medicaid | OH | |
| 12703418 | Other | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Philadelphia College of Osteopathic Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center IncPhoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
2000 Westinghouse Dr
Cranberry Township, PA 16066-5238
912 Russell Dr
Lebanon, PA 17042-7485
Phone (717) 272-7971
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58003182 | OH | MD | Orthopaedic Surgery Physician |
| 34.010342 | OH | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspan Medical Group | Current | Accepting new patients | |
| Wellspan Medical Group | Current | Accepting new patients |
Locations
112 N 7th St
Chambersburg, PA 17201
Phone (717) 217-4300
120 N 7th St
Ste 101
Chambersburg, PA 17201
Phone (717) 749-4801
24 Antrim Commons Dr
Greencastle, PA 17225
Phone (717) 593-0512
912 Russell Dr
Lebanon, PA 17042
Phone (717) 272-7971
97 Progress Blvd
Shippensburg, PA 17257
Phone (717) 217-6800
501 E Main St
Waynesboro, PA 17268
Phone (717) 765-3400
601 E Main St
Waynesboro, PA 17268
Phone (717) 765-5085
1600 S George St
York, PA 17403
Phone (717) 848-3615
25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250
Interoperability endpoints
- braudenbush193683@wellspan.direct-ci.com
Organizations & group practices 2
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.
-
dba WellSpan Digestive Health
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
dba WellSpan Pediatric Surgical Specialist
- Pediatric Surgery Physician
- York, PA
- NPI 1104799428
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1215060157
Hospital
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1669523320
Hospital
-
dba WellSpan Chambersburg Hospital
- General Acute Care Hospital
- Chambersburg, PA
- NPI 1902804552
-
dba WellSpan Chambersburg Hospital
- Clinic/Center
- Chambersburg, PA
- NPI 1952452617
Hospital
-
dba WellSpan Waynesboro Hospital
- Clinic/Center
- Fayetteville, PA
- NPI 1306989561
Hospital
-
dba WellSpan Waynesboro Hospital
- General Acute Care Hospital
- Waynesboro, PA
- NPI 1821091059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631232000000",
"number": "1356641609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 5TH AVE STE 3",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172014232",
"telephone_number": "717-263-9555",
"fax_number": "717-709-6529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 N 7TH ST",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172011720",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255"
}
],
"practiceLocations": [
{
"address_1": "2422 Lake Ave",
"address_purpose": "LOCATION",
"city": "Ashtabula",
"state": "OH",
"postal_code": "440044985",
"country_code": "US",
"telephone_number": "440-997-2262",
"fax_number": "440-997-6507",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "97 Progress Blvd",
"address_purpose": "LOCATION",
"city": "Shippensburg",
"state": "PA",
"postal_code": "172579053",
"country_code": "US",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682332",
"country_code": "US",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24 Antrim Commons Dr",
"address_purpose": "LOCATION",
"city": "Greencastle",
"state": "PA",
"postal_code": "172251623",
"country_code": "US",
"telephone_number": "717-263-1220",
"fax_number": "717-263-6255",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2420 Lake Ave",
"address_purpose": "LOCATION",
"city": "Ashtabula",
"state": "OH",
"postal_code": "440044954",
"country_code": "US",
"telephone_number": "440-997-2262",
"fax_number": "440-997-6507",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAUDENBUSH",
"first_name": "BRANDON",
"middle_name": "LEROY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-02",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "272940",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "58003182",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "OS015721",
"primary": true
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OH",
"license": "34.010342",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0137995",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12703418",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.