Individual provider Active NPI

Kirra L. Brandon, M.D.

  • Pediatrics Physician
  • Easton, MD
National Provider Identifier
1548432933
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
N2962 Issued in TX
Practice address
403 Marvel CT
Easton, MD 21601-4053
Phone
(410) 819-8867
Fax
(410) 822-0416
NPI assigned
Mar 26, 2008
Last updated
Feb 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X N2962 TX Primary

Addresses

Primary practice location

403 Marvel CT
Easton, MD 21601-4053

Mailing address

403 Marvel CT
Easton, MD 21601-4053
Phone (410) 819-8867

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120924000557 MD Practitioner - Dermatology 9032241377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Maryland School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Easton Dermatology Associates, LLCGroup PAC ID 2466599501, 12 clinicians

Practice addresses (Care Compare)

403 Marvel CT
Easton, MD 21601-4053
Phone (410) 819-8867

Merit-based Incentive Payment System (MIPS)

Final score
92.89 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.29

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions47
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Easton Dermatology Associates, LLC CurrentSince Oct 1, 2012 Accepting new patients

Locations

403 Marvel Ct
Easton, MD 21601
Phone (410) 819-8867

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1548432933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-819-8867",
            "fax_number": "410-822-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MARVEL CT",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014053",
            "telephone_number": "410-819-8867",
            "fax_number": "410-822-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "KIRRA",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "N2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

Verify at the official NPI Registry.