BRANDON COLBY CARLISLE PA-C NPI 1407212699

NPI Information

  • NPI: 1407212699
  • Provider Name: BRANDON COLBY CARLISLE, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1385 MEDICAL CENTER DR
    ROANOKE RAPIDS, NC
    ZIP 27870
  • Phone: (252) 537-9176

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NPI Details

Brandon Colby Carlisle, PA-C is a medical physician assistant in Roanoke Rapids, NC with 10 years of experience. Brandon Colby Carlisle, PA-C NPI is 1407212699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1385 MEDICAL CENTER DR
ROANOKE RAPIDS, NC
ZIP 27870-130
Phone: (252) 537-9176
Fax: (252) 537-6851

The NPI 1407212699 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)

The enumeration date for this NPI number is 1/5/2016 and was last updated on 10/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalYes
2363A00000XPhysician AssistantNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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