Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian G Buddendeck, PAC

Individual provider Medical Physician Assistant · NPI 1275582645

Brian G Buddendeck, PAC is a Physician Assistant in Charlotte, North Carolina. Qualified in 1999, 27 years ago. Practices with Fastmed PC, a 176-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
27
Licensed in
NC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

225 Baldwin Ave
Charlotte, NC 28204-3109
Phone: (704) 376-1605
Fax: (704) 335-8448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Spartanburg Hwy Ste 17, Hendersonville, NC 28792-4770 — (828) 233-1664

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 102794 (NC)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 102794 (NC)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 102794 (NC)

Record details

NPI number1275582645
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedMay 10, 2006
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Fastmed Pc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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