Mary Brandenburg, PA
NPI 1649385873 · Physician Assistant · Carbondale, IL
Mary Brandenburg, PA is a Physician Assistant provider in Carbondale, IL (NPI 1649385873).
Provider details
- NPI number
- 1649385873
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 085-001021 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2012-09-13
Frequently asked questions
- What is Mary Brandenburg's NPI number?
- Mary Brandenburg's National Provider Identifier (NPI) is 1649385873, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Brandenburg's specialty?
- Mary Brandenburg is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mary Brandenburg located?
- Mary Brandenburg's practice location on file with NPPES is 1301 E Walnut St, Carbondale, IL 62901-5004.
- What is Mary Brandenburg's phone number?
- The practice phone number listed in the NPPES registry for Mary Brandenburg is (618) 457-3371.
- Is Mary Brandenburg's NPI active?
- Yes — Mary Brandenburg's NPI (1649385873) is active in the NPPES registry as of the last update on 2012-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.