Brandon Gynecology Associates, PA

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

9601242 Issued in NC

Legal business name

BRANDON GYNECOLOGY ASSOCIATES, PA

Practice address

10310 Mallard Creek Rd Ste 101D
Mallard Crossing Medical Park
Charlotte, NC 28262-4563

Phone

(704) 654-6765

NPI assigned

Sep 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rochelle M Brandon, M.D.

Title

Owner/President

Phone

(704) 654-6765

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8043/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1378425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1952736142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 RANCLIFFE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698403",
            "telephone_number": "704-654-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10310 MALLARD CREEK RD STE 101D",
            "address_2": "MALLARD CROSSING MEDICAL PARK",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624563",
            "telephone_number": "704-654-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON GYNECOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-06",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BRANDON",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "704-654-6765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NC",
            "license": "9601242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branches Support Services, LLC
• Dana Brand, NP
• Nicholas James Brand, OTR
• Timothy Michael Brand, MD
• Brandie a. Terifaj, Lisw-CP, LCSW, PLLC
• Erica Brandon
• Rochelle M. Brandon, MD
• Nicole Brandys
• Oscar Sven Brann, M.D.
• Christopher Malcolm Branner, MD

• Gynecology Physician in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Gynecology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.