Individual provider Active NPI

Brandon Patrick Adrian, DPM

  • Podiatrist
  • Fayetteville, NC
National Provider Identifier
1376124917
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC007506 Issued in PA
Practice address
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone
(910) 484-4191
NPI assigned
Apr 15, 2021
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC007596 PA
Podiatrist 213E00000X SC007506 PA Primary

Addresses

Primary practice location

1638 Owen Dr
Fayetteville, NC 28304-3424

Mailing address

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 484-4191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241011001608 NY Practitioner - Podiatry 5698177277 Reassigns benefits to 5 organizations
I20241019000175 PA Practitioner - Podiatry 5698177277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H Susz DPM, PCGroup PAC ID 0345398723, 2 clinicians
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians
North Country Orthopaedic Group PCGroup PAC ID 8426043381, 18 clinicians

Practice addresses (Care Compare)

1 Timberview LN
Russell, PA 16345-4149
Phone (814) 757-8204

100 Horwood PL
Ogdensburg, NY 13669-4510
Phone (315) 394-9462

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

1571 Washington St
Suite 201
Watertown, NY 13601-9304
Phone (315) 782-1650

214 King St
Ogdensburg, NY 13669-1142
Phone (315) 393-3600

305 E Fairmount Ave
Unit F
Lakewood, NY 14750-2000
Phone (716) 664-9698

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue32
Removal of skin lesions1-10
Removal of nail tissue621
Removal or shaving of skin growth116
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007506PAMDPodiatrist
SC007596PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton Medical PC CurrentSince Nov 1, 2025 Accepting new patients
Carthage Area Hospital Inc CurrentSince Oct 13, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
John H Susz DPM, PC Podiatrist CurrentSince Sep 7, 2024 Accepting new patients
Claxton Medical PC CurrentSince Nov 1, 2025 Accepting new patients
North Country Orthopaedic Group PC CurrentSince Oct 13, 2025 Accepting new patients
Claxton-Hepburn Medical Center PastSince Oct 13, 2025 Accepting new patients
Carthage Area Hospital Inc. Past Accepting new patients

Locations

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

505 Foote Ave
Jamestown, NY 14701
Phone (716) 483-2285

305 E Fairmount Ave
Unit F
Lakewood, NY 14750
Phone (716) 664-9698

214 King St
Ste A
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

1571 Washington St
Ste 201
Watertown, NY 13601
Phone (315) 782-1650

116 E Main St
Westfield, NY 14787
Phone (716) 326-2890

1 Timberview Ln
Russell, PA 16345
Phone (814) 757-5834

Interoperability endpoints

  • Direct secure messaging: badrian@cahclinics.medentdirect.com
  • Direct secure messaging: badrian18757@prd.direct.tbh.org
  • Direct secure messaging: brandonadriandpm@ncog.medentdirect.com

Organizations & group practices 10

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 4

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1376124917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-484-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043424",
            "telephone_number": "910-484-4191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADRIAN",
        "first_name": "BRANDON",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007596",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC007506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.