Individual provider Active NPI

Brandan Lee Nokes, PA-C

  • Physician Assistant
  • Baltimore, MD
National Provider Identifier
1447880257
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07881 Issued in MD
Practice address
22 S Greene St # N4Wicu
Baltimore, MD 21201-1544
Phone
(410) 328-6749
Fax
(410) 328-7305
NPI assigned
Jan 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07881 MD Primary

Addresses

Primary practice location

22 S Greene St # N4Wicu
Baltimore, MD 21201-1544

Mailing address

22 S Greene St # N4Wicu
Baltimore, MD 21201-1544
Phone (410) 328-6749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 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
I20240220002974 MD Practitioner - Physician Assistant 1254713365 Reassigns benefits to 1 organization
I20260604002994 NC Practitioner - Physician Assistant 1254713365

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4435 Golf Acres Dr
Charlotte, NC 28208-5947

PO Box
Suite 19305
Charlotte, NC 28219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C07881MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Pediatric Assoc PA CurrentSince Feb 7, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#N4
Baltimore, MD 21201
Phone (410) 328-6716

Interoperability endpoints

  • Direct secure messaging: bnokes1031049@direct.umm.edu
  • Direct secure messaging: bnokes1408679@direct.hopkinsmedicine.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1579564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1447880257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # N4WICU",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6749",
            "fax_number": "410-706-5103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST # N4WICU",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6749",
            "fax_number": "410-328-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKES",
        "first_name": "BRANDAN",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-21",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.