Individual provider Active NPI

Lorin S Brandon, DPM

  • Podiatrist
  • Taos, NM
National Provider Identifier
1710016241
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
506 Issued in CO
Practice address
1213 Gusdorf Rd
Taos, NM 87571-6361
Phone
(970) 542-0221
NPI assigned
Mar 2, 2007
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 506 CO Primary

Addresses

Primary practice location

1213 Gusdorf Rd
Taos, NM 87571-6361

Mailing address

1213 Gusdorf Rd
Taos, NM 87571-6361

Other identifiers 1

IdentifierTypeStateIssuer
01005065MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180131002458 NM Practitioner - Podiatry 9335259340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

105 Mills Ave
Suite 100
Las Vegas, NM 87701-4169
Phone (505) 425-3313

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue73
Removal of skin lesions1-10
Removal of nail tissue418
Removal or shaving of skin growth165
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
506COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Mar 15, 2019 Accepting new patients
Stephen E Godar MD PC Past Accepting new patients
Sharon Quach DPM PC Past Accepting new patients
Colorado Plains Physician Practices LLC Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients

Locations

1300 Wyoming Blvd NE
Albuquerque, NM 87112
Phone (505) 298-7666

8008 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 296-5454

511 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 225-7091

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

3917 West Rd
Los Alamos, NM 87544
Phone (505) 661-9584

3600 Rodeo Ln
Ste A1
Santa Fe, NM 87507
Phone (505) 216-3515

1213 Gusdorf Rd
Taos, NM 87571
Phone (505) 425-3569

596 W 750 S
Ste 200
Bountiful, UT 84010
Phone (801) 292-4425

Interoperability endpoints

  • Direct secure messaging: ceq8325@yourcarecommunity.org
  • Direct secure messaging: footandanklespecialists.lorinbrandon@147936.advancedmd-direct.com

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 2

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": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1710016241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GUSDORF RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GUSDORF RD",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716361",
            "telephone_number": "970-542-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "LORIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CO",
            "license": "506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01005065",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

Verify at the official NPI Registry.