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

Mary L Brandenburg, PA

Individual provider Physician Assistant · NPI 1649385873

Mary L Brandenburg, PA is a Physician Assistant in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1301 E Walnut St
Carbondale, IL 62901-5004
Phone: (618) 457-3371
Fax: (618) 457-8931
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-001021 (IL)

Record details

NPI number1649385873
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 20, 2006
Last updated in NPPESSeptember 13, 2012

Other providers in Carbondale