Individual provider Active NPI

Brendan M Marr, MD

  • Surgery Physician
  • Mooresville, NC
National Provider Identifier
1437333630
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036177290 Issued in IL
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
102763029MedicaidPA
0052775MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20201201002066 AZ Practitioner - General Surgery 0749452654 Reassigns benefits to 1 organization
I20260210001579 IL Practitioner - General Surgery 0749452654 Reassigns benefits to 1 organization

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
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036177290ILMDSurgery Physician
2018-02219NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Healthcare Corp CurrentSince Sep 14, 2020 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 14, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 29, 2026 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.