Individual provider Active NPI

Braxton McClung, M.D.

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1497934202
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
331731 Issued in NY
Practice address
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone
(718) 616-3000
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35.098082 OH
Diagnostic Radiology Physician 2085R0202X 036166670 IL
Diagnostic Radiology Physician 2085R0202X 331731 NY Primary

Addresses

Primary practice location

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-3000

Other practice location 1

234 E 149th St
Bronx, NY 10451-5504
Phone (718) 579-5000

Other identifiers 6

IdentifierTypeStateIssuer
0064093MedicaidOH
1027686330001MedicaidPA
P01083159OtherOHRAILROAD MEDICARE
204881619OtherOHKAISER
204881619259OtherOHCARESOURCE
9079891OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, SC, IL, NY4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20120507000688 OH Practitioner - Diagnostic Radiology 1850553934
I20150429001285 SC Practitioner - Diagnostic Radiology 1850553934
I20240125002994 IL Practitioner - Diagnostic Radiology 1850553934 Reassigns benefits to 6 organizations
I20260128003265 NY Practitioner - Diagnostic Radiology 1850553934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York City Health and Hospitals CorporationGroup PAC ID 4183535305, 543 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

100 N Portland Ave
Brooklyn, NY 11205-2005
Phone (718) 616-3885

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

Hospital & facility affiliations

  • Kings County Hospital Center Hospital, Brooklyn, NY, CCN 330202
  • Lincoln Medical & Mental Health Center Hospital, Bronx, NY, CCN 330080
  • Metropolitan Hospital Center Hospital, New York, NY, CCN 330199

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
331731NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Dec 7, 2025 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 8, 2024 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Dec 7, 2025 Accepting new patients
Carle Bromenn Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jan 8, 2024 Accepting new patients
Hoopeston Community Memorial Hospital Current Accepting new patients
Carle Bromenn Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 18, 2024 Accepting new patients
Hoopeston Community Memorial Hospital CurrentSince Jan 8, 2024 Accepting new patients
Richland Memorial Hospital, Inc CurrentSince Jan 18, 2024 Accepting new patients
Carle Eureka Hospital CurrentSince Jan 10, 2024 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Carle West Physician Group Inc CurrentSince Jan 8, 2024 Accepting new patients
Eastside MRI Limited Partnership Past Accepting new patients

Locations

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3310 Fields South Dr
Champaign, IL 61822
Phone (217) 417-2352

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

1300 Franklin Ave
Ste 100
Normal, IL 61761
Phone (309) 268-3503

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

100 N Portland Ave
Brooklyn, NY 11205
Phone (718) 260-7500

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: bmcclungmd399409@carlehiedirect.net

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1497934202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 OCEAN PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112357745",
            "telephone_number": "718-616-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 E 149th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104515504",
            "country_code": "US",
            "telephone_number": "718-579-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "BRAXTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.098082",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036166670",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "331731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0064093",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027686330001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01083159",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "204881619",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "204881619259",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9079891",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.