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MR. BRANDON ALFRED
NPI 1003798331
Counselor - Mental Health in North Baldwin, NY

Active since July 25, 2025PECOS Enrolled
889 GRAND TERRACE AVE, NORTH BALDWIN, NY 11510(347) 400-4163 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Brandon Alfred NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRANDON ALFRED (NPI 1003798331) is an individual mental health provider in North Baldwin, New York, licensed in New York (016484) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1003798331
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. BRANDON ALFRED
Location Address889 GRAND TERRACE AVENorth Baldwin, NY 11510-1424
Mailing Address528 Merrick Rd # 1053Rockville Centre, NY 11570-5445 · (347) 400-4163
Phone(347) 400-4163
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 25, 2025
NPPES CertifiedJuly 25, 2025
✔ NPI 1003798331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 016484
889 GRAND TERRACE AVE, North Baldwin, NY 11510
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Brandon Alfred is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406341064
PECOS Enrollment IDI20251219003819
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Alfred's NPI number?

The NPI number for Brandon Alfred is 1003798331. It was assigned to this individual provider in the NPPES registry on July 25, 2025.

Where is Brandon Alfred located?

Brandon Alfred practices at 889 Grand Terrace Ave, North Baldwin, NY 11510. The listed phone number is (347) 400-4163.

What is Brandon Alfred's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brandon Alfred enrolled in Medicare?

Yes. Brandon Alfred is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Alfred was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.