NPIMap

Individual provider Active NPI

Brandon Trojan, M.D.

  • Urology Physician
  • Casper, WY
National Provider Identifier
1306139050
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10582A Issued in WY
Practice address
1416 E a St Ste 101
Casper, WY 82601-2276
Phone
(307) 577-8600
Fax
(307) 577-8605
NPI assigned
May 26, 2011
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 10582A WY Primary

Addresses

Primary practice location

1416 E a St Ste 101
Casper, WY 82601-2276

Mailing address

1416 E a St Ste 101
Casper, WY 82601-2276
Phone (307) 577-8600

Other identifiers 1

IdentifierTypeStateIssuer
1720009749MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20160707001182 WY Practitioner - Urology 0941508394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Oklahoma College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Wyoming Urological Associates, PCGroup PAC ID 2668454588, 7 clinicians

Practice addresses (Care Compare)

1416 E a St
Suite 101
Casper, WY 82601-2276
Phone (307) 577-8600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.5 of 100Reported as group
Quality
25
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cambridge Public Health Commission Current Accepting new patients
Central Wyoming Urological Associates, PC Urology CurrentSince Aug 1, 2016 Accepting new patients

Locations

1416 E A St
Casper, WY 82601

1416 E A St
#S101
Casper, WY 82601
Phone (307) 577-8600

1416 E A St
Ste 101
Casper, WY 82601
Phone (307) 577-8600

3100 W Lakeway Rd
#S1
Gillette, WY 82718

1025 College View Dr
Riverton, WY 82501
Phone (307) 856-0346

Interoperability endpoints

  • Direct secure messaging: brandontrojan@cwu.allscriptsdirect.net
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10022903
  • Direct secure messaging: jhills118857@direct.challiance.masshiway.net

Organizations & group practices 2

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 6

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": "1306368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1306139050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 E A ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600",
            "fax_number": "307-577-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 E A ST STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012276",
            "telephone_number": "307-577-8600",
            "fax_number": "307-577-8605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROJAN",
        "first_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-26",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WY",
            "license": "10582A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720009749",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

Verify at the official NPI Registry.