BRANDON ROSS CAULDER LCAS-A, LCSWA
NPI 1154041523
Counselor - Addiction (Substance Use Disorder) in Wilmington, NC

Active since August 29, 2022PECOS EnrolledAccepts Medicare Assignment
615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 341-5779 Get Directions Write a Review

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2023, Sep 21, 2022, Aug 29, 2022 (3 updates tracked since 2022).

About Brandon Ross Caulder Lcas-a, Lcswa NPPES

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

BRANDON ROSS CAULDER LCAS-A, LCSWA (NPI 1154041523) is an individual addiction (substance use disorder) provider in Wilmington, North Carolina, licensed in North Carolina (28472) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1154041523
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameBRANDON ROSS CAULDERCredential: LCAS-A, LCSWA
Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431
Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145
Fax(910) 341-5779
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 29, 2022
Last NPPES UpdateAugust 24, 20233 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
NPI 1154041523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Licenses Licensed in NC · 28472 Licensed in NC · MHL-065-011
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License P019596 (NC), MHL-065-011 (NC)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License MHL-065-011 (NC)
615 SHIPYARD BLVD, Wilmington, NC 28412

Secondary Practice Location 1

Location 1613 Shipyard BlvdWilmington, NC 28412-6492 · Phone (910) 202-3860

Other Identifiers 1

Medicaid8300416TNC

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

Brandon Ross Caulder Lcas-a, Lcswa 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 ID6305288150
PECOS Enrollment IDI20240523004025
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.

Psychologist (Prescribing (Medical))
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412
Social Worker (Clinical)
615 SHIPYARD BLVD
WILMINGTON, NC 28412

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 Caulder's NPI number?

The NPI number for Brandon Caulder is 1154041523. It was assigned to this individual provider in the NPPES registry on August 29, 2022.

Where is Brandon Caulder located?

Brandon Caulder practices at 615 Shipyard Blvd, Wilmington, NC 28412. The listed phone number is (910) 343-0145.

What is Brandon Caulder's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Brandon Caulder enrolled in Medicare?

Yes. Brandon Caulder 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 Brandon Caulder accept?

Health plans from Blue Cross and Blue Shield of NC and Providence Health Plan list Brandon Caulder 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 Brandon Caulder was last updated on August 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.