Active NPI
Brian J Duda, PAC
- Physician Assistant
- Newark, DE
National Provider Identifier
1982682795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C50000250
- Practice address
- 4755 Ogletown Stanton Road
Newark, DE 19718 - Phone
- (302) 733-1000
- Fax
- (302) 733-1633
- NPI assigned
- Jan 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C50000250 | DE | Primary |
Addresses
Primary practice location
4755 Ogletown Stanton Road
Newark, DE 19718
Mailing address
PO Box 3048
Wilmington, DE 19804
Phone (302) 224-5678
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D04 | Other | DE | MEDICARE D04 |
| 1000024321 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50000250 | DE | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Emergency Physicians LLC | Physician Assistant | Current | Accepting new patients |
Locations
106 Bow St
Elkton, MD 21921
Phone (410) 298-2000
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.
-
- Emergency Medicine Physician
- Elkton, MD
- NPI 1871375899
Physician Assistant
-
- Emergency Medicine Physician
- Newark, DE
- NPI 1639956451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1982682795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3048",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "19804",
"telephone_number": "302-224-5678",
"fax_number": "302-224-2848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4755 OGLETOWN STANTON ROAD",
"city": "NEWARK",
"state": "DE",
"postal_code": "19718",
"telephone_number": "302-733-1000",
"fax_number": "302-733-1633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDA",
"first_name": "BRIAN",
"middle_name": "J",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C50000250",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE D04",
"identifier": "D04",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000024321",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.