Brandon Phillips

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R181864 Issued in MD

Practice address

501 S Union Ave
Havre de Grace, MD 21078-3409

Phone

(443) 843-8054

NPI assigned

Aug 29, 2014

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 MD

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harford Health and WellnessGroup PAC ID 1658702253, 4 clinicians

Upper Chesapeake Medical Services IncGroup PAC ID 3173556974, 18 clinicians

Harford Crisis Center IncGroup PAC ID 6002726007, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Umd Upper Chesapeake Medical Center Hospital, Bel Air, MD, CCN 210049
• Levindale Hebrew Geriatric Center and Hospital Hospital, Baltimore, MD, CCN 210064

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Harford Crisis Center, Inc.

  • Psychiatry Physician
  • Bel Air, MD
  • NPI 1508334459
  Medicare reassignment Care Compare group NPD
• Upper Chesapeake Medical Services, Inc

  • Hospitalist Physician
  • Bel Air, MD
  • NPI 1497801419
  Medicare reassignment Care Compare group NPD
• Norkris Services, Inc

  • Community/Behavioral Health Agency
  • Havre de Grace, MD
  • NPI 1487025094

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Upper Chesapeake Medical Center, Inc.

  • Psychiatric Hospital
  • Aberdeen, MD
  • NPI 1891486908
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Levindale Hebrew Geriatric Center & Hospital Inc

  • Chronic Disease Hospital
  • Baltimore, MD
  • NPI 1598740821
  Care Compare affiliation
• Upper Chesapeake Medical Center, Inc.

  • General Acute Care Hospital
  • Bel Air, MD
  • NPI 1598761355
  Care Compare affiliation

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1679973382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S. UNION AVE",
            "address_2": "HARFORD MEMORIAL HOSPITAL",
            "city": "ABINGDON",
            "state": "MD",
            "postal_code": "21078",
            "telephone_number": "443-843-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S UNION AVE",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210783409",
            "telephone_number": "443-843-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R181864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaivi Asit Patel, MD
• Edward J Patro, OD
• Paul D. Chizmar DDS PA
• Pdom Havre de Grace
• Personalized Alternatives for Learning
• Physiotherapy Associates - Union Rehab LLC
• Physiotherapy Associates - Union Rehab, LLC
• Yves-Jacques Piquion, M.D.
• Podiatry Associates, P.a.
• Charlotte M Powell

• Psychiatric/Mental Health Nurse Practitioner in Havre de Grace, MD
• Providers in Havre de Grace, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.