Individual provider

Brent Tucker, PA-C

Physician Assistant Medical Physician Assistant Surgical Physician Assistant Medicare enrolled

Brent Tucker, PA-C is a Surgical Physician Assistant in Olney, MD, registered under NPI 1396297248. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 3414 OLANDWOOD CT, Olney, MD 20832. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3414 OLANDWOOD CT, Olney, MD 20832 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
C06263 MD Physician Assistant
C06263 MD Medical Physician Assistant
C06263 MD Surgical Physician Assistant primary

This provider holds licence C06263 issued in MD. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
1355624933

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Maryland I20170206000142 Practitioner - Physician Assistant
District of Columbia I20170206000203 Practitioner - Physician Assistant

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. There are 2 separate enrolment records across 2 states (MD, DC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363A00000X Physician Assistant C06263 MD
363AM0700X Medical Physician Assistant Medical C06263 MD
363AS0400X Surgical Physician Assistant Surgical C06263 MD primary

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396297248 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 26, 2016
Last updatedOct 15, 2019
StatusActive
Sole proprietorNo
GenderMale
CredentialPA-C
Practice address 3414 OLANDWOOD CT
Olney, MD 20832
(301) 774-0500
Fax (301) 774-7338
The last update on file is Oct 15, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1396297248 passes the NPI check digit test The final digit 8 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 2 9 7 2 4
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 4 9 5 2 8

Sum = 72 · next multiple of 10 = 80 · check digit = 8 · actual last digit = 8

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396297248?
NPI 1396297248 is the National Provider Identifier assigned to Brent Tucker, PA-C in Olney, MD. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Brent Tucker, PA-C?
The phone number on file with NPPES is (301) 774-0500, last updated Oct 15, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Brent Tucker, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396297248 a valid number?
Yes. 1396297248 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.