Active NPI
Brandon Patrick Adrian, DPM
- Podiatrist
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC007506
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 484-4191
- NPI assigned
- Apr 15, 2021
- Last updated
- Jan 16, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
- Carthage Area Hospital Inc
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 32 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 621 |
| Removal or shaving of skin growth | 116 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC007506 | PA | MD | Podiatrist |
| SC007596 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Claxton Medical PC | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| John H Susz DPM, PC | Podiatrist | Current | Accepting new patients |
| Claxton Medical PC | Current | Accepting new patients | |
| North Country Orthopaedic Group PC | Current | Accepting new patients | |
| Claxton-Hepburn Medical Center | Past | 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
- badrian@cahclinics.medentdirect.com
- badrian18757@prd.direct.tbh.org
- 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.
-
- Orthopaedic Surgery Physician
- Watertown, NY
- NPI 1568445344
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Pediatrics Physician
- Ogdensburg, NY
- NPI 1114164944
-
dba Claxton-Hepburn Medical Campus
- Critical Access Hospital
- Ogdensburg, NY
- NPI 1669236261
-
dba Practice Resources LLC
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
dba Claxton Hepburn Convenient Care
- Family Medicine Physician
- Ogdensburg, NY
- NPI 1013399617
-
- Primary Care Clinic/Center
- Harrisville, NY
- NPI 1578774451
-
- Psychiatric Hospital Unit
- Ogdensburg, NY
- NPI 1346301389
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
dba Claxton-Hepburn Medical Campus
- Critical Access Hospital
- Ogdensburg, NY
- NPI 1669236261
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.