Individual provider Active NPI

Brian William McDermott, DPM

  • Podiatrist
  • Wilmington, DE
National Provider Identifier
1114244142
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E1-0000227 Issued in DE
Practice address
1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805-2690
Phone
(302) 658-1129
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E1-0000227 DE
Podiatrist 213E00000X E1-0000227 DE Primary

Addresses

Primary practice location

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805-2690

Mailing address

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805-2690
Phone (302) 658-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20151005002159 DE Practitioner - Podiatry 2264563006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandywine Podiatry PAGroup PAC ID 5597700682, 8 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

1010 N Bancroft Pkwy
Suite 12
Wilmington, DE 19805-2668
Phone (302) 658-1129

501 W 14TH St
Wilmington, DE 19801-1013
Phone (302) 428-4413

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue1784
Removal or shaving of skin growth1366
Skin biopsy36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E1-0000227DEMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Podiatrist CurrentSince Dec 10, 2018 Accepting new patients
Brandywine Podiatry, PA Podiatrist CurrentSince Sep 18, 2015 Accepting new patients
Christiana Care Health Services Inc CurrentSince Dec 10, 2018 Accepting new patients
Brandywine Podiatry, PA Podiatrist CurrentSince Sep 18, 2015 Accepting new patients

Locations

121 Becks Woods Dr
Ste 201
Bear, DE 19701
Phone (302) 595-4077

1010 N Bancroft Pkwy
Ste 12
Wilmington, DE 19805
Phone (302) 658-1129

501 W 14th St
Wilmington, DE 19801
Phone (302) 320-4411

2106 Silverside Rd
Ste 201
Wilmington, DE 19810
Phone (302) 478-8099

Organizations & group practices 4

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 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": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1114244142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-658-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N BANCROFT PKWY",
            "address_2": "STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198052690",
            "telephone_number": "302-658-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "BRIAN",
        "middle_name": "WILLIAM",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DE",
            "license": "E1-0000227",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "DE",
            "license": "E1-0000227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.