BRANDIN PHILLIPS (PA-C) – Physician Assistant, NPI 1629473293
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRANDIN PHILLIPS (PA-C)
7 THORNDIKE TER APT 2
SWAMPSCOTT, MA 019072526
Phone: (916) 284-0212
Type: Mailing
2014 WASHINGTON ST
NEWTON, MA 024621607
Phone: (617) 243-6040
Type: Location
16417 GARNET WAY
CHINO HILLS, CA 917094924
Phone:
Type: Mailing
351 Winchester St
Keene, NH 034313930
Phone: (603) 352-3406
Type: Location
1990 N California Blvd
Suite 400
Walnut Creek, CA 945963742
Phone: (925) 482-8240
Type: Location
351 WINCHESTER ST
KEENE, NH 034313930
Phone: (603) 352-3406
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-05-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150209000824 | I | Physician Assistant | CA | TBD |
| I20220510002554 | I | Physician Assistant | MA | TBD |
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.
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 01907)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | NH | |
| - | NH | |
| Internal Medicine | NH | |
| Physician Assistant | NH | |
| Physician Assistant | NH | |
| Family Practice | NH | |
| Nurse Practitioner | NH | |
| - | NH | |
| - | NH | |
| - | VT |
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