Individual provider Active NPI

Brianna Shannae Wiggins, PA-C

  • Obstetrics & Gynecology Physician
  • Towson, MD
National Provider Identifier
1477264752
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C0008695 Issued in MD
Practice address
6565 N Charles St Ste 212
Towson, MD 21204-5805
Phone
(410) 823-1120
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0008695 MD
Obstetrics & Gynecology Physician 207V00000X C0008695 MD Primary

Addresses

Primary practice location

6565 N Charles St Ste 212
Towson, MD 21204-5805

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (013) 408-3393

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianna.wiggins.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230204000200 MD Practitioner - Physician Assistant 2466824206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0008695MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients

Locations

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

6565 N Charles St
Ste 212
Towson, MD 21204
Phone (410) 823-1120

Organizations & group practices 2

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1477264752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "013-408-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212045805",
            "telephone_number": "410-823-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGGINS",
        "first_name": "BRIANNA",
        "middle_name": "SHANNAE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008695",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "C0008695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianna.wiggins.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6565 N Charles St Ste 212",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212045805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.