Erin Ruth Brabandt, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102916 Issued in NC

Practice address

1105 Fairgrove Church Rd SE
Conover, NC 28613-9090

Phone

(828) 267-0551

NPI assigned

Nov 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brabandt Ruth Erin Other name

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

DLP Frye Medical Group LLC 125 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: erin.brabandt.1@15786.direct.athenahealth.com

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.

• DLP Frye Medical Group LLC

  • Rural Health Clinic/Center
  • Lincolnton, NC
  • NPI 1154005965

  NC

  Medicare reassignment Care Compare group NPD
• DLP Central Carolina Physician Practices LLC

  • Physician Assistant
  • Sanford, NC
  • NPI 1457802928
  NPD
• DLP Frye Medical Group LLC

  • Neonatal-Perinatal Medicine Physician
  • Hickory, NC
  • NPI 1356865067
  NPD
• Fryecare Watauga, LLC

  • Nuclear Cardiology Physician
  • Boone, NC
  • NPI 1902243686
  NPD
• DLP Cardiology Physicians LLC

  • Cardiovascular Disease Physician
  • Hickory, NC
  • NPI 1316302896
  NPD (past)
• DLP Frye Medical Group LLC

  • Cardiovascular Disease Physician
  • Hickory, NC
  • NPI 1093253205

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1720152937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 30TH AVE LANE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "28601",
            "telephone_number": "720-989-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 FAIRGROVE CHURCH RD SE",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139090",
            "telephone_number": "828-267-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABANDT",
        "first_name": "ERIN",
        "middle_name": "RUTH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "102916",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATES LICENSE NUMBER",
            "identifier": "1623",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRABANDT",
            "last_name": "ERIN",
            "middle_name": "RUTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in Conover, NC
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.