✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant (363A00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

BRANDON EDWARD WOOLDRIDGE, PA-C (NPI #1497441430)

Physician Assistant • FOREST, VA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1497441430
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
2103 GRAVES MILL RD, FOREST, VA, 24551-2675
✓ 9-Digit EDI 837 ZIP+4 (24551-2675)
Practice Phone & Referral Fax
Fax: (434) 316-6185
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497441430 (BRANDON EDWARD WOOLDRIDGE, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1497441430)

Medicare Beneficiaries
32
Total Billed Services
78
Distinct CPT/HCPCS Codes
23
Medicare Allowed Total
$4,477.87

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
36415 Insertion of needle into vein for collection of blood sample18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more20

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Amlodipine Besylate
Amlodipine Besylate
2417
Atorvastatin Calcium
Atorvastatin Calcium
18<11
Diclofenac Sodium
Diclofenac Sodium
1512
Fluticasone Propionate
Fluticasone Propionate
1615
Gabapentin
Gabapentin
11<11
Levothyroxine Sodium
Levothyroxine Sodium
17<11
Lisinopril
Lisinopril
1812
Losartan Potassium
Losartan Potassium
11<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1497441430 (NPI-1 Individual Practitioner)
Provider / Legal NameBRANDON EDWARD WOOLDRIDGE, PA-C
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
NUCC Code: 363A00000X (Physician Assistant)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address2103 GRAVES MILL RD, FOREST, VA, 24551-2675
Practice Telephone / FaxTel: (434) 316-7199 | Fax: (434) 316-6185
Administrative Mailing Address1193 MARKET DR, GOODE, VA, 24556-2708
Enumeration & Last SyncEnumerated: 2023-04-13 | CMS Record Updated: 2026-03-03

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2103 GRAVES MILL RD, FOREST, VA, 24551-2675

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Plain-English Taxonomy & CMS Crosswalk (363A00000X)

What Does Taxonomy Code 363A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BRANDON EDWARD WOOLDRIDGE, PA-C)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363A00000X — Physician Assistant
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
State: VA | License: 0110009594 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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