Provider Demographics
NPI:1376860684
Name:DEARMAN, BRANDON R (MD)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:R
Last Name:DEARMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5070 RITTER RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4879
Mailing Address - Country:US
Mailing Address - Phone:717-272-6621
Mailing Address - Fax:
Practice Address - Street 1:5070 RITTER RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4879
Practice Address - Country:US
Practice Address - Phone:717-272-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-26
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD447271207Q00000X
PAMT196768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA30159651OtherAMERIHEALTH CARITAS-WMG - HFM
PA30159646OtherAMERIHEALTH CARITAS-WMG - CE
PA102826601Medicaid
PA30159656OtherAMERIHEALTH CARITAS-WMG - WRC
PA2896639OtherHIGHMARK BLUE SHIELD
PA30125511OtherAMERIHEALTH CARITAS-WMG - THFP
PA789453OtherUPMC
PA102826601Medicaid
PAP01302297Medicare PIN
PA30159656OtherAMERIHEALTH CARITAS-WMG - WRC