DR. BRANDON JAMES M.D.
NPI 1457708398
Psychiatry & Neurology - Neurology in Providence, RI

Q: What is Brandon James's NPI number?

The NPI number for Brandon James is 1457708398. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Q: What is Brandon James's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Brandon James was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 20, 2016PECOS EnrolledAccepts Medicare Assignment

88.22/100

CMS Quality Rating

593 EDDY ST, PROVIDENCE, RI 02903(401) 606-2513(401) 444-6858 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 15, 2023, May 25, 2021, Mar 29, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Dr. Brandon James M.d. NPPES

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

DR. BRANDON JAMES M.D. (NPI 1457708398) is an individual neurology provider in Providence, Rhode Island, licensed in Rhode Island (LP03682) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, is affiliated with Centura St. Catherine Hospital-garden City, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457708398

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. BRANDON JAMESCredential: M.D.

Location Address593 EDDY STProvidence, RI 02903-4923

Mailing Address593 Eddy StProvidence, RI 02903-4923 · (401) 606-2513 · Fax (401) 444-6858

Phone(401) 606-2513

Fax(401) 444-6858

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMay 20, 2016

Last NPPES UpdateMarch 15, 20234 updates tracked since enumeration

NPPES CertifiedMarch 15, 2023

✔ NPI 1457708398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in RI · LP03682✔ Licensed in CO · DR.0066665✔ Licensed in KS · 04-47379

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedInternal MedicineTaxonomy 207R00000X · License LP03682 (RI)

593 EDDY ST, Providence, RI 02903

Open in Google Maps ↗

Secondary Practice Locations 2

Location 111750 W 2nd Pl Ste 255Lakewood, CO 80228-1726 · Phone (720) 321-8040 · Fax (720) 321-8041

Location 2401 E Spruce StGarden City, KS 67846-5679 · Phone (620) 272-2222

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brandon James M.d. 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 ID6002101250

PECOS Enrollment IDI20210603001617

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.

Medicare Billing Reassignments

Medicare enrollment records show Brandon James reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonspirit Kansas, Inc.

1,540 mi

Surgery

108 W ROSS BLVD
Dodge City, KS 67801

Reassigned Medicare billing, Kansas enrollment
82 clinicians in this Medicare group

NPI 1699487611 (620) 371-6336

Catholic Health Initiatives Colorado

1,668 mi

Orthopaedic Surgery

401 KENDALL DR
Lamar, CO 81052

Reassigned Medicare billing, Colorado enrollment
1,193 clinicians in this Medicare group

NPI 1679182315 (719) 473-3332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

46 services46 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

27 services23 patients

Telephone or internet assessment with verbal and written report by consulting physician, more than 30 minutes 99449

This service involves a consulting physician assessing your health condition through a phone or internet consultation lasting over 30 minutes. The physician will provide a verbal explanation and a written report of the findings, helping you understand your health status better.

21 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Centura St. Catherine Hospital-Garden City

Acute Care Hospitals · Garden City, KS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number170023

Location401 East SpruceGarden City, KS 67846 · Finney County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.22/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

88.96

Promoting Interoperability

Improvement Activities

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.

DR. KEITH-AUSTIN SCARFO D.O.

Anesthesiology

593 EDDY ST, APC 6
PROVIDENCE, RI 02903

Providence County (401) 444-3777

AILEEN HSUEH

Surgery

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-8450

RHODE ISLAND HOSPITAL

General Acute Care Hospital

593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903

Providence County (401) 444-7585

DR. GA HIE NAM M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-5057

EUGENIE ATALLAH

Psychiatry & Neurology (Neurology)

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 606-2645

BRET CAULFIELD

Physician Assistant

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4000

JUNG HO GONG

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 793-2695

FANNY HUANG MD

Student in an Organized Health Care Education/Training Program

593 EDDY ST
PROVIDENCE, RI 02903

Providence County (401) 444-4741

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 James's NPI number?

The NPI number for Brandon James is 1457708398. It was assigned to this individual provider in the NPPES registry on May 20, 2016.

Where is Brandon James located?

Brandon James practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 606-2513.

What is Brandon James's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Brandon James enrolled in Medicare?

Yes. Brandon James 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.

Which organizations bill Medicare for Brandon James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon James reassigns Medicare benefits to 2 organizations: Commonspirit Kansas, Inc. (Dodge City, KS) and Catholic Health Initiatives Colorado (Lamar, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brandon James accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Brandon James 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.

Is Brandon James affiliated with any hospitals?

According to CMS data, Brandon James is affiliated with Centura St. Catherine Hospital-Garden City.

When was this NPI record last updated?

The NPPES record for Brandon James was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.