Individual provider Active NPI

Brandon Julian

  • Physician Assistant
  • New Hartford, NY
National Provider Identifier
1760113377
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030828 Issued in NY
Practice address
20 Kellogg Rd
New Hartford, NY 13413-2825
Phone
(315) 751-7047
NPI assigned
Jun 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 030828 NY Primary

Addresses

Primary practice location

20 Kellogg Rd
New Hartford, NY 13413-2825

Mailing address

20 Kellogg Rd
New Hartford, NY 13413-2825
Phone (315) 765-0903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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
I20231117002057 NY Practitioner - Physician Assistant 5799133484 Reassigns benefits to 1 organization
I20251015004170 NC Practitioner - Physician Assistant 5799133484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Corporate Blvd
Lafayette, LA 70508-3844

200 Corporate Blvd
Lafayette, LA 70508-3870

Hospital & facility affiliations

  • Cape Fear Valley Hoke Hospital Hospital, Raeford, NC, CCN 340188
  • Wynn Hospital Hospital, Utica, NY, CCN 330044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hoke Emergency Group, PC Physician Assistant CurrentSince Aug 1, 2025 Accepting new patients
Michael Trociuk, MD PC PastSince Oct 15, 2023 Accepting new patients

Locations

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Interoperability endpoints

  • Direct secure messaging: bjulian137529@capefearvalley.direct-ci.com

Organizations & group practices 3

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.

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": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1760113377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132825",
            "telephone_number": "315-765-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 KELLOGG RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132825",
            "telephone_number": "315-751-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.