Individual provider Active NPI

Brandon Louis Mednick, MD

  • Emergency Medicine Physician
  • Clearwater, FL
National Provider Identifier
1205925237
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
056138 Issued in GA
Practice address
18167 US Hwy 19 North
Suite 650
Clearwater, FL 33764-9843
Phone
(727) 507-3643
Fax
(727) 507-3618
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 056138 GA Primary
Emergency Medicine Physician 207P00000X 01098122A IN
Emergency Medicine Physician 207P00000X 96106 SC

Addresses

Primary practice location

18167 US Hwy 19 North
Suite 650
Clearwater, FL 33764-9843

Mailing address

18167 US Highway 19 N Ste 650
Clearwater, FL 33764-6576
Phone (800) 507-8874

Other practice location 1

14 Richland Medical Park Dr Ste 350
Columbia, SC 29203-6896
Phone (803) 434-1663

Other practice location 2

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9515

Other identifiers 1

IdentifierTypeStateIssuer
344804973AMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmednick@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, IL, TN, NC, ME, VA, IN, SC, LA9 enrollments
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 9

Enrollment IDStateProvider typePAC IDDetails
I20050826000106 GA Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 7 organizations
I20250106002524 IL Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 1 organization
I20250217001763 TN Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 3 organizations
I20250402000583 NC Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 6 organizations
I20250903000850 ME Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 2 organizations
I20251025000313 VA Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 3 organizations
I20260102001342 IN Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 1 organization
I20260121000944 SC Practitioner - Emergency Medicine 7214965573 Reassigns benefits to 2 organizations
I20260401004148 LA Practitioner - Emergency Medicine 7214965573

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Health Medical Group-MidlandsGroup PAC ID 5991099707, 1,040 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Bluewater Emergency Partners of Brunswick, LLCGroup PAC ID 3375774227, 151 clinicians
Sound Physicians Emergency Medicine of South Carolina LLCGroup PAC ID 2163702739, 48 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

14 Richland Medical Park Dr
Suite 350
Columbia, SC 29203-6896
Phone (803) 434-1319

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (888) 484-3258

300 Main St
Lewiston, ME 04240-7027
Phone (207) 795-5646

302 University Pkwy
Aiken, SC 29801-6302
Phone (803) 641-5100

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070
  • Aiken Regional Medical Center Hospital, Aiken, SC, CCN 420082
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Central Maine Medical Center Hospital, Lewiston, ME, CCN 200024

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056138GAMDEmergency Medicine Physician
01098122AINMDEmergency Medicine Physician
96106SCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Sumter Medical Center, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Bull City Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Palmetto Health - University of South Carolina Medical Group CurrentSince Jan 1, 2026 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Apr 1, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 23, 2026 Accepting new patients
Phoebe Sumter Medical Center, Inc CurrentSince Sep 1, 2024 Accepting new patients
Bluewater Emergency Partners of Brunswick, LLC Emergency Medicine CurrentSince Jun 26, 2025 Accepting new patients
Murphy Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 17, 2025 Accepting new patients
Rockford Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Oct 28, 2025 Accepting new patients
Tennessee River Physicians, PLLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
Tarheel Emergency Group, PLLC Emergency Medicine CurrentSince Feb 17, 2025 Accepting new patients
Walker Lake Emergency Group, PC Emergency Medicine CurrentSince Apr 19, 2023 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Prisma Health Medical Group-Midlands CurrentSince Jan 1, 2026 Accepting new patients
Warren Memorial Hospital, Inc. Emergency Medicine CurrentSince Oct 28, 2025 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 17, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Sound Physicians Emergency Medicine of South Carolina LLC Emergency Medicine CurrentSince Feb 13, 2026 Accepting new patients
Robeson Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 17, 2025 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Sep 1, 2024 Accepting new patients
Gem Capital Physicians, PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Eastern Maine Medical Center CurrentSince Mar 23, 2026 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Oct 28, 2025 Accepting new patients
Coweta Emergency Group LLC Emergency Medicine CurrentSince Oct 22, 2013 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Putnam Emergency Physicians, PLLC Emergency Medicine CurrentSince Feb 3, 2025 Accepting new patients
T M Carr MD PC Emergency Medicine CurrentSince Nov 17, 2025 Accepting new patients
Sterling Emergency Services of Virginia Inc Emergency Medicine Past Accepting new patients
Peachtree Emergency Associates Emergency Medicine Past Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients
Emerginet Henry, LLC Past Accepting new patients
Inphynet Primary Care Physicians Southeast PC Emergency Medicine Past Accepting new patients
Ecs of Virginia, Inc. Emergency Medicine Past Accepting new patients
Bluewater Emergency Partners of Calais, LLC Dba: Bluewater Urgent Care Emergency Medicine Past Accepting new patients
Apollomd Group Services, LLC Emergency Medicine Past Accepting new patients

Locations (25 of 41)

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

100 Wheatley Dr
Americus, GA 31709
Phone (229) 924-6011

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

5665 New Northside Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 778-5975

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

489 State St
Bangor, ME 04401
Phone (207) 973-8837

10 Hospital Dr
Bridgton, ME 04009
Phone (207) 647-6000

123 Medical Center Dr
Brunswick, ME 04011
Phone (207) 373-6800

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: bmednick5338892@direct.casso.us.com

Organizations & group practices 44

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.

View all 44

Hospital & facility affiliations 9

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1205925237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18167 US HIGHWAY 19 N STE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646576",
            "telephone_number": "800-507-8874",
            "fax_number": "727-507-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18167 US HWY 19 NORTH",
            "address_2": "SUITE 650",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337649843",
            "telephone_number": "727-507-3643",
            "fax_number": "727-507-3618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Richland Medical Park Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-1663",
            "fax_number": "803-434-7092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 E Discovery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474089059",
            "country_code": "US",
            "telephone_number": "812-353-9515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDNICK",
        "first_name": "BRANDON",
        "middle_name": "LOUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "056138",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01098122A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "96106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344804973A",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmednick@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.