Active NPI
Brandon Bradley Herndon, MD
- Family Medicine Physician
- Canton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2023-00447
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Carepartners Home Health Services
- Haywood Regional Medical Center
- Memorial Mission Hospital and Asheville Surgery Ce
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Family Medicine | Current | Accepting new patients |
| Florida Clinical Practice Association Inc | Family Medicine | Past | 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.
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
Family Medicine, NC
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- Surgery Physician
- Gainesville, FL
- NPI 1063463768
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waynesville, NC
- NPI 1356813943
-
- General Acute Care Hospital
- Clyde, NC
- NPI 1811158215
Hospital
-
- Home Health Agency
- Waynesville, NC
- NPI 1811411507
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.