BRANDI MARIE HARRIS – Physician Assistant, NPI 1134629181

BRANDI MARIE HARRIS is a healthcare provider. based in French camp, California. specializing in PHYSICIAN ASSISTANT. The NPI Number for BRANDI MARIE HARRIS is 1134629181

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BRANDI MARIE HARRIS
NPI
1134629181
Phone
(209) 468-6000
Address
500 W HOSPITAL RD
Enumeration Date
16 February 2018
Last Update Date
17 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012957200
Graduation Year
2017 (9 years ago)
PAC ID
7810250487
Group Practice PAC ID
7113282179
Professional Enrollment ID
I20211018002641
Address ID
UT840413692LA201XXPKWY410
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:8State licenses:0Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for BRANDI MARIE HARRIS

  • West Hospital Road, French Camp, San Joaquin County, California, 95231, United States

    FRENCH CAMP, CA 952319693

    Phone: (209) 468-6000

    Type: Location

  • 1551 RENAISSANCE TOWNE DR STE 400

    BOUNTIFUL, UT 840107676

    Phone: (801) 295-7200

    Type: Mailing

  • 1551 RENAISSANCE TOWNE DR

    BOUNTIFUL, UT 840107667

    Phone: (801) 295-7200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $95.

Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($36).

Total Amount

$95

General + Research + Ownership

Payments

5

Total payment records

General Amount

$95

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180412000856IPhysician AssistantCATBD
I20211018002641IPhysician AssistantUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95231)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113282179View full group profile
NameSpecialtyState
Orthopedic SurgeryWI
Orthopedic SurgeryUT
Physician AssistantCA
Physician AssistantUT
Physician AssistantUT
Nurse PractitionerUT
Orthopedic SurgeryUT
Orthopedic SurgeryUT
Nurse PractitionerUT
Physician AssistantUT

Reviews

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Frequently asked questions

Does BRANDI MARIE HARRIS have a public NPI I can cite?
Public records show BRANDI MARIE HARRIS under NPI 1134629181.
Quick check: is BRANDI MARIE HARRIS active?
Public NPPES data shows BRANDI MARIE HARRIS with an active NPI status right now.
Which specialty label fits BRANDI MARIE HARRIS?
NPPES ties BRANDI MARIE HARRIS to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to BRANDI MARIE HARRIS?
The directory associates BRANDI MARIE HARRIS with French Camp, California. Check all listed addresses for suites or satellite offices.
Who maintains BRANDI MARIE HARRIS's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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