Active NPI
Brendan M Marr, MD
- Surgery Physician
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036177290
- Practice address
- 131 Medical Park Rd Ste 303
Mooresville, NC 28117-8525 - Phone
- (704) 660-4584
- Fax
- (704) 660-4967
- NPI assigned
- Dec 24, 2007
- Last updated
- Jan 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2018-02219 | NC | |
| Surgery Physician | 208600000X | 036177290 | IL | Primary |
| Surgery Physician | 208600000X | MD449620 | PA |
Addresses
Primary practice location
131 Medical Park Rd Ste 303
Mooresville, NC 28117-8525
Mailing address
34 Conservation CT
La Salle, IL 61301-9649
Phone (517) 488-7938
Other practice location 1
920 West St
Peru, IL 61354-2763
Phone (815) 431-5757
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102763029 | Medicaid | PA | |
| 0052775 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Indiana University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10210 N 92ND St
Suite 101
Scottsdale, AZ 85258-4523
Phone (480) 882-7460
920 W St
LL2 General Surgery
Peru, IL 61354-2763
Phone (815) 431-5757
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036177290 | IL | MD | Surgery Physician |
| 2018-02219 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Healthcare Corp | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| Honorhealth | Past | Accepting new patients | |
| Allegheny Clinic | Past | Accepting new patients |
Locations
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10210 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 882-7438
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
920 West St
#2
Peru, IL 61354
Phone (815) 431-5757
Interoperability endpoints
- bmarr399501@direct.honorhealth.com
Organizations & group practices 8
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Radiologic Technologist
- Scottsdale, AZ
- NPI 1356974026
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
-
dba OSF Saint Elizabeth Medical Center
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1437333630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 CONSERVATION CT",
"city": "LA SALLE",
"state": "IL",
"postal_code": "613019649",
"telephone_number": "517-488-7938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 MEDICAL PARK RD STE 303",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178525",
"telephone_number": "704-660-4584",
"fax_number": "704-660-4967"
}
],
"practiceLocations": [
{
"address_1": "920 West St",
"address_purpose": "LOCATION",
"city": "Peru",
"state": "IL",
"postal_code": "613542763",
"country_code": "US",
"telephone_number": "815-431-5757",
"fax_number": "815-575-4060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARR",
"first_name": "BRENDAN",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-24",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2018-02219",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036177290",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD449620",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102763029",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0052775",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.