Brandon Nickolas Phillips, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

2013-00748 Issued in NC

Practice address

1212 Walter Reed Rd
Fayetteville, NC 28304-4440

Phone

(910) 930-0704

NPI assigned

Jun 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Brandon N Phillips Other name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Ophthalmology

Education

Medical College of Wisconsin, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bphillips@phileye.intellechartdirect.net

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.

• Phillips Eye, PLLC

  • Ophthalmology Physician
  • Fayetteville, NC
  • NPI 1245925130
  Medicare reassignment NPD Authorized official
• Carolina Eye Associates Inc

  • Ophthalmology Physician
  • Albemarle, NC
  • NPI 1649349291
  NPD

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1407018658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MIDLAND RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872927",
            "telephone_number": "910-295-2100",
            "fax_number": "910-295-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WALTER REED RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044440",
            "telephone_number": "910-930-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2170 Midland Rd",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283872927",
            "country_code": "US",
            "telephone_number": "910-295-2100 x4029",
            "fax_number": "910-295-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Carthage St",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273308984",
            "country_code": "US",
            "telephone_number": "919-776-7549",
            "fax_number": "919-774-3330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 Fordham Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043774",
            "country_code": "US",
            "telephone_number": "910-485-2020",
            "fax_number": "910-485-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Hunt Dr",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344987",
            "country_code": "US",
            "telephone_number": "910-891-4129",
            "fax_number": "910-891-4320",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2905 N Elm St",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582982",
            "country_code": "US",
            "telephone_number": "910-370-0100",
            "fax_number": "910-370-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRANDON",
        "middle_name": "NICKOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-30",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2013-00748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "PHILLIPS",
            "middle_name": "N",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• PHCP
• Wiliam C Philbrick, OD
• Judith Ann Philbrook, NNP
• Phillips Eye, PLLC
• Phillips Home Health Care
• Brittany Kierra Phillips, LCAS-A
• Charlene Phillips
• Cynthia C Phillips, PA-C
• David Lee Phillips, RD
• Evan Joseph Phillips, PA-C

• Ophthalmology Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Ophthalmology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; 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.

Verify at the official NPI Registry.