BRANDI L DIDOMINICK PA-C
NPI 1134608904
Physician Assistant - Medical in Gilbert, AZ

Active since August 12, 2018PECOS EnrolledAccepts Medicare Assignment
2946 E BANNER GATEWAY DR, GILBERT, AZ 85234(480) 256-6444(480) 256-3682 Get Directions Write a Review

NPPES record last updated: October 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2025, Nov 15, 2023, Mar 20, 2019 and 2 more (5 updates tracked since 2018).

About Brandi L Didominick Pa-c NPPES

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

BRANDI L DIDOMINICK PA-C (NPI 1134608904) is an individual medical provider in Gilbert, Arizona, licensed in Arizona (7224) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134608904
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBRANDI L DIDOMINICKCredential: PA-C
Location Address2946 E BANNER GATEWAY DRGilbert, AZ 85234-2165
Mailing Address2946 E Banner Gateway DrGilbert, AZ 85234-2165 · (480) 256-6444 · Fax (480) 256-3682
Fax(480) 256-3682
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 12, 2018
Last NPPES UpdateOctober 10, 20255 updates tracked since enumeration
NPPES CertifiedOctober 10, 2025
NPI 1134608904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 7224
Also ListedPhysician AssistantTaxonomy 363A00000X · License 7224 (AZ)
2946 E BANNER GATEWAY DR, Gilbert, AZ 85234

Other Identifiers 1

Medicaid469444AZ

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brandi L Didominick Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658610720
PECOS Enrollment IDI20190307000910
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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Radiology (Vascular & Interventional Radiology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Internal Medicine (Hematology & Oncology)
2946 E BANNER GATEWAY DR, SUITE 450
GILBERT, AZ 85234
Internal Medicine (Medical Oncology)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Nurse Practitioner (Acute Care)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Internal Medicine (Pulmonary Disease)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Physician Assistant (Medical)
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234
Physician Assistant
2946 E BANNER GATEWAY DR
GILBERT, AZ 85234

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 Brandi Didominick's NPI number?

The NPI number for Brandi Didominick is 1134608904. It was assigned to this individual provider in the NPPES registry on August 12, 2018.

Where is Brandi Didominick located?

Brandi Didominick practices at 2946 E Banner Gateway Dr, Gilbert, AZ 85234. The listed phone number is (480) 256-6444.

What is Brandi Didominick's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brandi Didominick enrolled in Medicare?

Yes. Brandi Didominick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brandi Didominick accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Brandi Didominick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brandi Didominick was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.