Individual provider Active NPI

Brandon Bradley Herndon, MD

  • Family Medicine Physician
  • Canton, NC
National Provider Identifier
1932736246
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-00447 Issued in NC
Practice address
55 Buckeye Cove Rd Ste 200a
Canton, NC 28716-4511
Phone
(828) 235-3023
Fax
(828) 452-8837
NPI assigned
Mar 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2023-00447 NC Primary

Addresses

Primary practice location

55 Buckeye Cove Rd Ste 200a
Canton, NC 28716-4511

Mailing address

55 Buckeye Cove Rd Ste 200a
Canton, NC 28716-4511
Phone (828) 235-3023

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230818000553 NC Practitioner - Family Practice 5991123036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DLP Western Carolina Physician Practices LLCGroup PAC ID 9032338975, 177 clinicians

Practice addresses (Care Compare)

55 Buckeye Cove Rd
Suite 200a
Canton, NC 28716-4511
Phone (828) 452-8878

Hospital & facility affiliations

  • Home Care Services of Haywood Regional Medical Center Home health agency, Waynesville, NC, CCN 347035
  • Carepartners Home Health Services Home health agency, Asheville, NC, CCN 347083
  • Haywood Regional Medical Center Hospital, Clyde, NC, CCN 340184
  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Oct 1, 2023 Accepting new patients
DLP Western Carolina Physician Practices LLC Family Medicine CurrentSince Oct 1, 2023 Accepting new patients
Florida Clinical Practice Association Inc Family Medicine PastSince Mar 1, 2020 Accepting new patients

Locations

55 Buckeye Cove Rd
#200A
Canton, NC 28716
Phone (828) 235-3023

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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 4

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": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1932736246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE RD STE 200A",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164511",
            "telephone_number": "828-235-3023",
            "fax_number": "828-452-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 BUCKEYE COVE RD STE 200A",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164511",
            "telephone_number": "828-235-3023",
            "fax_number": "828-452-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "BRANDON",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-00447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, NC

Sources for this page

Verify at the official NPI Registry.