Individual provider Active NPI

Brian David Macdonald, DPM

  • Foot & Ankle Surgery Podiatrist
  • Brunswick, ME
National Provider Identifier
1104832054
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
POD 1070 Issued in ME
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
433983899MedicaidME

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091208000204 ME Practitioner - Podiatry 9931248770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Associates of Maine PAGroup PAC ID 1456323658, 4 clinicians

Practice addresses (Care Compare)

310 Bath Rd
Brunswick, ME 04011-2651
Phone (207) 725-4008

Hospital & facility affiliations

  • Mainehealth Mid Coast Hospital Hospital, Brunswick, ME, CCN 200021

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue34
Removal of skin lesions59
Removal of nail tissue271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD 1070MEMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Associates of Maine, P.a. Foot & Ankle Surgery CurrentSince Jul 19, 2009 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

  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.