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

Stacia E. Brandenburg, PA-C

Individual provider Physician Assistant · NPI 1063793222

Stacia E. Brandenburg, PA-C is a Physician Assistant in Leonardtown, Maryland. Qualified in 2011, 15 years ago. Practices with Ochsner Clinic LLC, a 2,842-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Maryland.

Years since qualifying
15
Licensed in
CA, MD
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone: (240) 826-7550
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0005910 (MD)
Physician Assistant Taxonomy 363A00000X · Licence PA21790 (CA)

Record details

NPI number1063793222
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 1, 2011
Last updated in NPPESDecember 11, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Ochsner Clinic Llc — 2842 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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