Active NPI
Rochelle M. Brandon, MD
- Gynecology Physician
- Charlotte, NC
National Provider Identifier
1962512400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 9601242
- Practice address
- 10310 Mallard Creek Rd Ste 101D
Charlotte, NC 28262-4563 - Phone
- (704) 510-1600
- Fax
- (704) 510-1601
- NPI assigned
- Aug 30, 2006
- Last updated
- Oct 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 9601242 | NC | Primary |
Addresses
Primary practice location
10310 Mallard Creek Rd Ste 101D
Charlotte, NC 28262-4563
Mailing address
10310 Mallard Creek Rd Ste 101D
Charlotte, NC 28262-4563
Phone (704) 510-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891237K | Medicaid | NC |
Other names 1
- Dr. Rochelle Monique Brandon
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 |
|---|---|---|---|---|
| I20060208000325 | NC | Practitioner - Obstetrics/Gynecology | 8921013269 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9601242 | NC | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Womens Center PA | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- rbrandon537330@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gynecology Physician
- Charlotte, NC
- NPI 1952736142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1962512400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10310 MALLARD CREEK RD STE 101D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624563",
"telephone_number": "704-510-1600",
"fax_number": "704-510-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10310 MALLARD CREEK RD STE 101D",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624563",
"telephone_number": "704-510-1600",
"fax_number": "704-510-1601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDON",
"first_name": "ROCHELLE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "NC",
"license": "9601242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891237K",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROCHELLE",
"last_name": "BRANDON",
"middle_name": "MONIQUE",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.