Active NPI
Brian David Macdonald, DPM
- Foot & Ankle Surgery Podiatrist
- Brunswick, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD 1070
- Practice address
- 81 Medical Center Dr
Suite 2100
Brunswick, ME 04011-2690 - Phone
- (207) 725-4008
- Fax
- (207) 725-5749
- NPI assigned
- Jul 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD 1070 | ME | Primary |
Addresses
Primary practice location
81 Medical Center Dr
Suite 2100
Brunswick, ME 04011-2690
Mailing address
81 Medical Center Dr
Suite 2100
Brunswick, ME 04011-2690
Phone (207) 725-4008
Other practice location 1
690 Minot Ave
Auburn, ME 04210-3922
Phone (207) 783-1328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 433983899 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
310 Bath Rd
Brunswick, ME 04011-2651
Phone (207) 725-4008
Hospital & facility affiliations
- Mainehealth Mid Coast Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 34 |
| Removal of skin lesions | 59 |
| Removal of nail tissue | 271 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| POD 1070 | ME | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot and Ankle Associates of Maine, P.a. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
310 Bath Rd
Brunswick, ME 04011
Phone (207) 373-6175
81 Medical Center Dr
Ste 2100
Brunswick, ME 04011
Phone (207) 373-6125
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2ccb01ad-4a64-4074-9560-d61ce84ce4ce/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Brunswick, ME
- NPI 1588784409
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brunswick, ME
- NPI 1932164795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104832054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MEDICAL CENTER DR",
"address_2": "SUITE 2100",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112690",
"telephone_number": "207-725-4008",
"fax_number": "207-725-5749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 MEDICAL CENTER DR",
"address_2": "SUITE 2100",
"city": "BRUNSWICK",
"state": "ME",
"postal_code": "040112690",
"telephone_number": "207-725-4008",
"fax_number": "207-725-5749"
}
],
"practiceLocations": [
{
"address_1": "690 Minot Ave",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "ME",
"postal_code": "042103922",
"country_code": "US",
"telephone_number": "207-783-1328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACDONALD",
"first_name": "BRIAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD 1070",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "433983899",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brunswick, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.