Brandon Lee McLaughlin, P.A.
Individual provider Active NPI Physician Assistant · Central City, NE
NPI 1104935071 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1104935071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1237 (NE)
- Practice address
- 2510 18TH Ave
Central City, NE 68826 - Phone
- (308) 946-3845
- Fax
- (308) 946-2357
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Merrick Medical Center
City of Genoa
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
- Merrick Medical Center
- CHI Health St. Francis
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060201000213 | NE | Practitioner - Physician Assistant | 3476567280 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1237 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merrick Medical Center | Family Medicine | Current |
Accepting new patients |
| Wright Turn Lane PC | Current |
Accepting new patients | |
| City of Genoa | Current |
Accepting new patients | |
| Merrick Medical Center | Current | Accepting new patients | |
| City of Genoa | Current |
Accepting new patients | |
| Merrick Medical Center | Family Medicine | Current |
Accepting new patients |
| City of Genoa | Current | Accepting new patients | |
| City of Genoa | Past | Accepting new patients |
Locations
2802 28th St
Central City, NE 68826
Phone (308) 946-3015
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
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
- bmclaughlin47868@hisp.bryanhealth.org
- brandon.mclaughlin.1@16293.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1237 | NE | |
| Physician Assistant | 363A00000X | 1237 | NE | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37871 | Other | NE | BLUECROSS & BLUESHIELD |
| P00295047 | Other | RAILROAD MEDICARE |
Other providers in Central City, NE
- Litzenberg Memorial Merrick County
- Lone Tree Medical Associates, P.C.
- Connie Loseke
- Steven Scot Mahnke
- Shirley Jean McKinney
- Merrick County
- Merrick Medical Center
- Merrick Medical Center
- Merrick Medical Center
- Merrick Medical Center
All providers in Central City, NE · Physician Assistant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.