Individual provider Active NPI

Brian Long, PA-C

  • Physician Assistant
  • Bethesda, MD
National Provider Identifier
1659265585
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0009947 Issued in MD
Practice address
6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843
Phone
(301) 515-0900
NPI assigned
Jun 5, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 C0009947 MD Primary

Addresses

Primary practice location

6710A Rockledge Dr Ste 130
Bethesda, MD 20817-2843

Mailing address

14414 Seneca Rd
Darnestown, MD 20874-3332
Phone (301) 768-2804

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
I20250925002026 MD Practitioner - Physician Assistant 5597260083 Reassigns benefits to 1 organization
I20251204002209 DC Practitioner - Physician Assistant 5597260083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

19847 Century Blvd
Suite 205
Germantown, MD 20874-7204
Phone (301) 515-0900

3414 Olandwood CT
Olney, MD 20832-1384
Phone (301) 774-0500

6710 A Rockledge Dr
Suite 130
Bethesda, MD 20817-2843
Phone (301) 515-0900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C0009947MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince May 30, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC Sports Medicine CurrentSince May 30, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC Sports Medicine CurrentSince Sep 23, 2025 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Sports Medicine Past Accepting new patients

Locations

6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712

6710A Rockledge Dr
Ste 130
Bethesda, MD 20817
Phone (301) 515-0900

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Interoperability endpoints

  • Direct secure messaging: 09blong@cfaortho.emadirect.md

Organizations & group practices 6

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.

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": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1659265585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14414 SENECA RD",
            "city": "DARNESTOWN",
            "state": "MD",
            "postal_code": "208743332",
            "telephone_number": "301-768-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710A ROCKLEDGE DR STE 130",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172843",
            "telephone_number": "301-515-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0009947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.