Active NPI
Brandon Julian
- Physician Assistant
- New Hartford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030828
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
- Wynn Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoke Emergency Group, PC | Physician Assistant | Current | Accepting new patients |
| Michael Trociuk, MD PC | Past | Accepting new patients |
Locations
210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000
Interoperability endpoints
- 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.
-
- Emergency Medicine Physician
- Raeford, NC
- NPI 1003337528
Physician Assistant
-
- Internal Medicine Physician
- New Hartford, NY
- NPI 1679151781
-
- Anesthesiology Physician
- New Hartford, NY
- NPI 1023059888
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.