Active NPI
Brandon Christopher Redmond, PAC
- Physician Assistant
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0003720
- Practice address
- 100 East Carroll Street
Salisbury, MD 21801-5493 - Phone
- (410) 543-7536
- Fax
- (410) 543-7272
- NPI assigned
- Jun 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0003720 | MD | Primary |
Addresses
Primary practice location
100 East Carroll Street
Salisbury, MD 21801-5493
Mailing address
100 East Carroll Street
Salisbury, MD 21801-5493
Phone (410) 543-7536
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C03720 | Other | MD | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Mercy LN
Cheverly, MD 20785-1157
Phone (301) 618-2273
901 Harry S Truman Dr N
Upper Marlboro, MD 20774-5477
Phone (240) 677-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0003720 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dimensions Health Associates Dba University of Maryland Capital Region | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Current | Accepting new patients | |
| Luminis Health Medical Group, LLC | Current | Accepting new patients | |
| Dimensions Healthcare Associates, Inc. | Current | Accepting new patients | |
| Tidalhealth Peninsula Regional, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366
2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010
900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616
145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400
Interoperability endpoints
- bredmond129152@direct.aahs.org
- bredmond1144061@direct.umm.edu
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Salisbury, MD
- NPI 1184832040
Physician Assistant
-
- Maternal & Fetal Medicine Physician
- Annapolis, MD
- NPI 1073580205
-
- Internal Medicine Physician
- Oxon Hill, MD
- NPI 1407486293
-
- Surgery Physician
- Annapolis, MD
- NPI 1295006922
-
- Internal Medicine Physician
- Bowie, MD
- NPI 1720835010
-
- Community/Retail Pharmacy
- Salisbury, MD
- NPI 1871031559
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Upper Marlboro, MD
- NPI 1720099286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398297600000",
"number": "1518126887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EAST CARROLL STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015493",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EAST CARROLL STREET",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218015493",
"telephone_number": "410-543-7536",
"fax_number": "410-543-7272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDMOND",
"first_name": "BRANDON",
"middle_name": "CHRISTOPHER",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-03",
"last_updated": "2014-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0003720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "C03720",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
- Krista Beth Records, PTA
- Richard Mann Reddish, D.D.S.
- Walton Francis Reddish, CRNP
- Sahithi Reddy, MD
- Teja Nagaradona Reddy, MD, MPH
- George David Reeder, MD
- Reenvision Counseling & Reiki Healing, LLC
- Jennifer Murray Reeves, COT/L
- Talmadge Curle Reeves, MD
- Rehabilitation Hospital Corporation of America LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.