Individual provider Active NPI

Samantha Miranda Brand, M.D.

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1437545340
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101264560 Issued in VA
Practice address
999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316
Phone
(202) 596-8891
Fax
(833) 941-2357
NPI assigned
Apr 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101264560 VA Primary

Addresses

Primary practice location

999 Waterside Dr Ste 2525
Norfolk, VA 23510-3316

Mailing address

563 Wood Nymph LN
Chesapeake, VA 23323-5359

Other practice location 1

1605 General Booth Blvd
Virginia Beach, VA 23454-5691
Phone (757) 721-0512

Other names 1

  • Samantha Miranda Umali Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180809004290 VA Practitioner - Family Practice 8820302425 Reassigns benefits to 2 organizations
I20240716001068 DC Practitioner - Family Practice 8820302425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Revolution Medicine Health and Fitness PLLCGroup PAC ID 7911339890, 14 clinicians

Practice addresses (Care Compare)

1050 Connecticut Ave NW
Suite 500
Washington, DC 20036-5304
Phone (202) 596-8891

999 Waterside Dr
Suite 2525
Norfolk, VA 23510-3316
Phone (202) 596-8891

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Physician Services, PC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Revolution Medicine Health & Fitness PLLC Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Bayview Physician Services, PC CurrentSince Jul 1, 2018 Accepting new patients

Locations

1050 Connecticut Ave NW
Ste 500
Washington, DC 20036
Phone (202) 596-8891

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

1024 Battlefield Blvd S
Chesapeake, VA 23322
Phone (757) 410-4488

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23388/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.brand.1@23388.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1428451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1437545340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 WOOD NYMPH LN",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 WATERSIDE DR STE 2525",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235103316",
            "telephone_number": "202-596-8891",
            "fax_number": "833-941-2357"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 General Booth Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234545691",
            "country_code": "US",
            "telephone_number": "757-721-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAND",
        "first_name": "SAMANTHA",
        "middle_name": "MIRANDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-08",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101264560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1605 General Booth Blvd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234545691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "UMALI",
            "middle_name": "MIRANDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.