NPIMap

Individual provider Active NPI

Brian M Mugo, MD

  • Internal Medicine Physician
  • Durham, NC
National Provider Identifier
1316475197
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-03350 Issued in NC
Practice address
3475 Erwin Rd Ste 200
Durham, NC 27705-0005
Phone
(919) 660-6746
Fax
(919) 684-0607
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 271081 MA
Internal Medicine Physician 207R00000X 2024-03350 NC Primary

Addresses

Primary practice location

3475 Erwin Rd Ste 200
Durham, NC 27705-0005

Mailing address

3475 Erwin Rd Ste 200
Durham, NC 27705-0005
Phone (919) 660-6746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250212002815 NC Practitioner - Internal Medicine 4183995988 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3475 Erwin Rd
Durham, NC 27705-0005
Phone (919) 684-8111

Hospital & facility affiliations

  • Duke Home Health Home health agency, Durham, NC, CCN 347136
  • Duke University Hospital Hospital, Durham, NC, CCN 340030
  • Duke Regional Hospital Hospital, Durham, NC, CCN 340155

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-03350NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Sep 1, 2020 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Dec 2, 2024 Accepting new patients
Duke University Health System, Inc. Internal Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Dec 2, 2024 Accepting new patients

Locations

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-6588

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: bmugo610740@direct.medicine.duke.edu

Organizations & group practices 6

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 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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1316475197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-660-6746",
            "fax_number": "919-684-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 ERWIN RD STE 200",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277050005",
            "telephone_number": "919-660-6746",
            "fax_number": "919-684-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGO",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "271081",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-03350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.