Carl William Brango, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD054551L Issued in PA

Practice address

10 Muddy Creek Forks Rd
Suite 3
Brogue, PA 17309-9497

Phone

(717) 812-5020

Fax

(717) 461-7144

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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.

• Wellspan Medical Group

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004

  PA

  Medicare reassignment Care Compare group NPD
• Wellspan Medical Group

  • Podiatrist
  • Chambersburg, PA
  • NPI 1033897228
  Care Compare group
• Wellspan Medical Group

  • Pulmonary Disease Physician
  • York, PA
  • NPI 1073756672
  Care Compare group
• Wellspan Medical Group

  • Podiatrist
  • Greencastle, PA
  • NPI 1336827526
  Care Compare group
• Wellspan Medical Group

  • Podiatrist
  • Fayetteville, PA
  • NPI 1700567260
  Care Compare group
• Wellspan Medical Group

  • Urology Physician
  • Gettysburg, PA
  • NPI 1790195576
  Care Compare group
• Wellspan Medical Group

  • Neurology Physician
  • York, PA
  • NPI 1831251792
  Care Compare group
• Wellspan Medical Group

  • Diagnostic Radiology Physician
  • York, PA
  • NPI 1952587727
  Care Compare group
• Wellspan Medical Group

  • Family Medicine Physician
  • Thurmont, MD
  • NPI 1881762995
  Care Compare group
• Wellspan Medical Group

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Family Medicine Physician
  • York, PA
  • NPI 1457044794

  Family Medicine

  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Vna Home Health Services

  • Home Health Agency
  • York, PA
  • NPI 1437172301
  Care Compare affiliation
• York Hospital

  • General Acute Care Hospital
  • York, PA
  • NPI 1326060492

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1497814040

  Hospital

  Care Compare affiliation
• York Hospital

  • Clinic/Center
  • York, PA
  • NPI 1609112036

  Hospital

  Care Compare affiliation
• York Hospital

  • Family Medicine Physician
  • York, PA
  • NPI 1881617132

  Hospital

  Care Compare affiliation

Specialty

Family Practice

Education

West Virginia University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspan Medical Group 2,438 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wellspan Vna Home Care Home health agency, York, PA, CCN 397004
• Wellspan York Hospital Hospital, York, PA, CCN 390046

Procedures performed for Medicare patients

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbrango13719@wellspan.direct-ci.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 28, 2022.

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1497773162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-812-5020",
            "fax_number": "717-461-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MUDDY CREEK FORKS RD",
            "address_2": "SUITE 3",
            "city": "BROGUE",
            "state": "PA",
            "postal_code": "173099497",
            "telephone_number": "717-812-5020",
            "fax_number": "717-461-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANGO",
        "first_name": "CARL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD054551L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG",
            "identifier": "276738",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD BCBS",
            "identifier": "543718",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AH MERCY-WMG SVF",
            "identifier": "1142415",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS-WMG",
            "identifier": "01112102",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "34917",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "20092060",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5260001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001523820",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY-WMG",
            "identifier": "P002830",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG CFA",
            "identifier": "152606",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS",
            "identifier": "30054",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "686609",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI-WMG",
            "identifier": "233296",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON-WMG SVFM",
            "identifier": "82566",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Brenneman, D.O.
• Brogue Ambulance Inc
• Family Medicine Associates of York, LLC
• Rachel Hollingshead
• Jenna Moser

• All providers in Brogue, PA
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.

Verify at the official NPI Registry.