Active NPI
Brandon Ithiel Esianor, MD
- Otolaryngology Physician
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 104102
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5703 - Phone
- (715) 387-5511
- NPI assigned
- Apr 10, 2018
- Last updated
- Sep 30, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 91595 | SC | |
| Otolaryngology Physician | 207Y00000X | 327014 | NY | |
| Otolaryngology Physician | 207Y00000X | 104102 | WI | Primary |
| Pediatric Otolaryngology Physician | 207YP0228X | 91595 | SC |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Mailing address
PO Box 751461
Charlotte, NC 28275-1461
Other practice location 1
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-1414
Other practice location 2
6701 Fannin St Floor 5
Houston, TX 77030-8605
Phone (832) 822-3250
Other practice location 3
9618 Huebner Rd
San Antonio, TX 78240-1660
Phone (210) 358-4583
Other practice location 4
16723 Huebner Rd
San Antonio, TX 78248-2351
Phone (210) 644-3600
Other practice location 5
1015 Spring St
Greenwood, SC 29646-3831
Phone (864) 227-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 915950 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.musc.edu | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 355
Johnson City, NY 13790-2162
Phone (607) 770-1018
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 327014 | NY | MD | Otolaryngology Physician |
| 91595 | SC | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| Self Medical Group | Current | Accepting new patients |
Locations
75 Remittance Dr
Dept 6764
Chicago, IL 60675
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
1015 Spring St
Greenwood, SC 29646
Phone (864) 227-6741
2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866
Interoperability endpoints
- besianor226761@direct-guthrie.org
- besianor486114@direct.musc.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Surgery Physician
- Greenwood, SC
- NPI 1982836847
-
dba MUSC Physicians
- Multi-Specialty Clinic/Center
- Charleston, SC
- NPI 1043241110
-
- Diagnostic Radiology Physician
- Greenwood, SC
- NPI 1659839694
-
dba MUSC PHysicians
- Family Medicine Physician
- Charleston, SC
- NPI 1982678496
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Ocala Hospital
- General Acute Care Hospital
- Ocala, FL
- NPI 1841237930
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1083111645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751461",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282751461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "29425",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6701 Fannin St Floor 5",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770308605",
"country_code": "US",
"telephone_number": "832-822-3250",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9618 Huebner Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782401660",
"country_code": "US",
"telephone_number": "210-358-4583",
"fax_number": "210-358-0510",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16723 Huebner Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782482351",
"country_code": "US",
"telephone_number": "210-644-3600",
"fax_number": "210-702-6963",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1015 Spring St",
"address_purpose": "LOCATION",
"city": "Greenwood",
"state": "SC",
"postal_code": "296463831",
"country_code": "US",
"telephone_number": "864-227-6741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESIANOR",
"first_name": "BRANDON",
"middle_name": "ITHIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2026-09-30",
"certification_date": "2026-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "SC",
"license": "91595",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "327014",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WI",
"license": "104102",
"primary": true
},
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "SC",
"license": "91595",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "915950",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.musc.edu",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "171 Ashley Ave",
"city": "Charleston",
"state": "SC",
"country_code": "US",
"postal_code": "29425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.