Individual provider Active NPI

Brian Patrick McDonough, MD

  • Family Medicine Physician
  • Wilmington, DE
National Provider Identifier
1124037262
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C10002808 Issued in DE
Practice address
701 N Clayton St
MSB Suite 200
Wilmington, DE 19805-3165
Phone
(302) 575-8040
Fax
(302) 575-8005
NPI assigned
Aug 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C10002808 DE Primary

Addresses

Primary practice location

701 N Clayton St
MSB Suite 200
Wilmington, DE 19805-3165

Mailing address

PO Box 824804
Philadelphia, PA 19182-4804
Phone (302) 575-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brianmcdonough@sffp.allscriptsdirect.net Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101213000053 DE Practitioner - Family Practice 2264629591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Hospital IncGroup PAC ID 7911987144, 47 clinicians

Practice addresses (Care Compare)

701 N Clayton St
FL 2
Wilmington, DE 19805-3165
Phone (302) 575-8040

Hospital & facility affiliations

  • St Francis Hospital Hospital, Wilmington, DE, CCN 080003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C10002808DEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Inc. Family Medicine Current Accepting new patients
St Francis Hospital Inc Family Medicine CurrentSince Jan 1, 1993 Accepting new patients
St Francis Hospital Inc CurrentSince Jan 1, 1993 Accepting new patients

Locations

701 N Clayton St
Fl 2
Wilmington, DE 19805
Phone (302) 575-8040

701 N Clayton St
Wilmington, DE 19805
Phone (302) 421-4100

701 N Clayton St
Ste 200
Wilmington, DE 19805
Phone (302) 575-8040

Interoperability endpoints

  • Direct secure messaging: bmcdonough2012937@direct.trinity-health.org

Organizations & group practices 3

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1124037262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824804",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824804",
            "telephone_number": "302-575-8040",
            "fax_number": "302-575-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N CLAYTON ST",
            "address_2": "MSB SUITE 200",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198053165",
            "telephone_number": "302-575-8040",
            "fax_number": "302-575-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "BRIAN",
        "middle_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C10002808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brianmcdonough@sffp.allscriptsdirect.net",
            "affiliation": "N",
            "endpointDescription": "St. Francis Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "701 N Clayton St",
            "address_2": "MSB Suite 200",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198053165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.