NPIMap

Individual provider Active NPI

Brandon Lee McLaughlin, P.A.

  • Physician Assistant
  • Central City, NE
National Provider Identifier
1104935071
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1237 Issued in NE
Practice address
2510 18TH Ave
Central City, NE 68826
Phone
(308) 946-3845
Fax
(308) 946-2357
NPI assigned
Aug 30, 2006
Last updated
May 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1237 NE
Physician Assistant 363A00000X 1237 NE Primary

Addresses

Primary practice location

2510 18TH Ave
Central City, NE 68826

Mailing address

2510 18TH Ave
Central City, NE 68826-2123
Phone (308) 946-3845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060201000213 NE Practitioner - Physician Assistant 3476567280 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Merrick Medical CenterGroup PAC ID 9537445812, 13 clinicians
City of GenoaGroup PAC ID 5193702777, 5 clinicians

Practice addresses (Care Compare)

2802 28TH St
Central City, NE 68826-2707
Phone (308) 946-3015

706 Ewing Ave
PO Box 310
Genoa, NE 68640-0310

706 Ewing St
Genoa, NE 68640-3035

PO Box
Suite 310
Genoa, NE 68640

PO Box
Suite 310
Genoa, NE 68640-0310

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1237NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merrick Medical Center Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Wright Turn Lane PC CurrentSince Feb 28, 2022 Accepting new patients
City of Genoa CurrentSince Jun 23, 2019 Accepting new patients
Merrick Medical Center Current Accepting new patients
City of Genoa Current Accepting new patients
Merrick Medical Center Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
City of Genoa Past Accepting new patients
Merrick Medical Center Family Medicine Past Accepting new patients

Locations

1715 26th St
Central City, NE 68826
Phone (308) 946-3015

2510 18th Ave
Central City, NE 68826
Phone (308) 946-3845

2802 28th St
Central City, NE 68826
Phone (308) 946-3015

2802 28th St
Ste 100
Central City, NE 68826
Phone (308) 946-3845

505 S Park St
Genoa, NE 68640
Phone (402) 993-2206

8419 S 73rd Plz
Ste 101
Papillion, NE 68046
Phone (402) 991-9060

627 N Lincoln Ave
York, NE 68467

Interoperability endpoints

  • Direct secure messaging: bmclaughlin47868@hisp.bryanhealth.org
  • Direct secure messaging: brandon.mclaughlin.1@16293.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1104935071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 18TH AVE",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "688262123",
            "telephone_number": "308-946-3845",
            "fax_number": "308-946-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 18TH AVE",
            "city": "CENTRAL CITY",
            "state": "NE",
            "postal_code": "68826",
            "telephone_number": "308-946-3845",
            "fax_number": "308-946-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "1237",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central City, NE

Sources for this page

Verify at the official NPI Registry.