Max Brandon Ludlum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-06942 Issued in NC

Practice address

1906 Meeting CT
Wilmington, NC 28401-6631

Phone

(910) 399-7180

Fax

(910) 660-8314

NPI assigned

Jan 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Tinsley Surgical, PA

  • Vascular Surgery Physician
  • Wilmington, NC
  • NPI 1407326291

  NC

  Medicare reassignment
• Wilmington Family Practice PLLC

  • Physician Assistant
  • Wilmington, NC
  • NPI 1992351910

  NC

  Medicare reassignment
• Fresh Start Primary Care and Outpatient Recovery PA

  • Addiction Medicine (Family Medicine) Physician
  • Wilmington, NC
  • NPI 1518844190
  NPD (past) Authorized official
• Goshen Medical Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Wilmington, NC
  • NPI 1144170283
  NPD (past)

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1669918223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 MEETING CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016631",
            "telephone_number": "910-399-7180",
            "fax_number": "910-660-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 MEETING CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016631",
            "telephone_number": "910-399-7180",
            "fax_number": "910-660-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDLUM",
        "first_name": "MAX",
        "middle_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lorraine Lucas, LCSWA
• Sean R. Lucas, M.D.
• Leslie Luce, M.S., CCC-SLP
• Alicia Luchsinger, IBCLC
• Lanny David Lude, D.C.
• Julie Marie Ludovici Ward, DC
• Kathleen Marie Ludwig, CRNP
• Nina Lukashevich
• Joana Lukasik, FNP-C
• Travis Dale Lukasik, CRNA

• All providers in Wilmington, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.