Individual provider Active NPI

Brandon Christopher Redmond, PAC

  • Physician Assistant
  • Salisbury, MD
National Provider Identifier
1518126887
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0003720 Issued in MD
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

Updated by the provider on Apr 24, 2014

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 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

IdentifierTypeStateIssuer
C03720OtherMDLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20081002000379 MD Practitioner - Physician Assistant 0648348763 Reassigns benefits to 2 organizations
I20240723000411 DC Practitioner - Physician Assistant 0648348763 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
C0003720MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dimensions Health Associates Dba University of Maryland Capital Region CurrentSince Jul 1, 2024 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 23, 2021 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Feb 1, 2012 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 23, 2021 Accepting new patients
Dimensions Healthcare Associates, Inc. CurrentSince Jul 1, 2024 Accepting new patients
Tidalhealth Peninsula Regional, Inc. Physician Assistant CurrentSince Feb 1, 2012 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

  • Direct secure messaging: bredmond129152@direct.aahs.org
  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.