Individual provider Active NPI

Brandon David Milligan, CRNP

  • Family Nurse Practitioner
  • Salisbury, MD
National Provider Identifier
1366138281
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R200550 Issued in MD
Practice address
1346 S Division St Ste 103
Salisbury, MD 21804-7021
Phone
(410) 749-2599
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R200550 MD Primary

Addresses

Primary practice location

1346 S Division St Ste 103
Salisbury, MD 21804-7021

Mailing address

1613 Lavale CT
Salisbury, MD 21804-1914
Phone (410) 713-9792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20230520000310 MD Practitioner - Nurse Practitioner 9537525308 Reassigns benefits to 3 organizations
I20240119002607 DC Practitioner - Nurse Practitioner 9537525308 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince May 9, 2023 Accepting new patients
Somerset Primary Care LLC CurrentSince Aug 30, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince May 7, 2023 Accepting new patients
Menocal Medical Services PA Family Medicine Current Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince May 7, 2023 Accepting new patients
Privia Care Center LLC CurrentSince May 9, 2023 Accepting new patients
Somerset Primary Care LLC Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

382 W Main St
Crisfield, MD 21817
Phone (301) 751-9330

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1346 S Division St
Ste 103
Salisbury, MD 21804
Phone (410) 749-2599

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: brandon.milligan.1@32781.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1366138281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 LAVALE CT",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041914",
            "telephone_number": "410-713-9792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 S DIVISION ST STE 103",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218047021",
            "telephone_number": "410-749-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLIGAN",
        "first_name": "BRANDON",
        "middle_name": "DAVID",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R200550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.