Individual provider Active NPI

Rochelle M. Brandon, MD

  • Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1962512400
Registry record updated Oct 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
9601242 Issued in NC
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
891237KMedicaidNC

Other names 1

  • Dr. Rochelle Monique Brandon Other name

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
I20060208000325 NC Practitioner - Obstetrics/Gynecology 8921013269

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9601242NCMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Womens Center PA Single Specialty Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.