Individual provider Active NPI

Bryan S McCarthy, D.O.

  • Anesthesiology Physician
  • Dover, DE
National Provider Identifier
1336161124
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
C2-0003557 Issued in DE
Practice address
640 S State St
Dover, DE 19901-3530
Phone
(302) 674-4700
Fax
(302) 744-6407
NPI assigned
Jul 24, 2006
Last updated
May 5, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X C2-0003557 DE Primary

Addresses

Primary practice location

640 S State St
Dover, DE 19901-3530

Mailing address

PO Box 826515
Philadelphia, PA 19182-6515
Phone (888) 733-7271

Other identifiers 1

IdentifierTypeStateIssuer
P00615630OtherDERAILROAD MEDICARE

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
I20070927001028 DE Practitioner - Anesthesiology 7315837473 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jr Anesthesia LLCGroup PAC ID 0840468286, 3 clinicians

Practice addresses (Care Compare)

742 S Governors Ave
Suite 2
Dover, DE 19904-4111
Phone (302) 678-5008

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Endoscopy Center LLC Current Accepting new patients
Rockland Surgery Center, L.P. Anesthesiology CurrentSince Sep 3, 2023 Accepting new patients
Jr Anesthesia LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
Anesthesia Advantage PC Anesthesiology Past Accepting new patients
Anesthesia Advantage of Delaware, P.a. Anesthesiology Past Accepting new patients
Anestahealth, P.a. Anesthesiology Past Accepting new patients

Locations

742 S Governors Ave
Dover, DE 19904
Phone (215) 579-9126

742 S Governors Ave
Ste 2
Dover, DE 19904
Phone (302) 678-0725

2710 Centerville Rd
Ste 100
Wilmington, DE 19808
Phone (302) 655-3388

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1336161124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 826515",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191826515",
            "telephone_number": "888-733-7271",
            "fax_number": "302-733-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 S STATE ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013530",
            "telephone_number": "302-674-4700",
            "fax_number": "302-744-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "BRYAN",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "DE",
            "license": "C2-0003557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00615630",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

Verify at the official NPI Registry.