Active NPI
Braxton McClung, M.D.
- Diagnostic Radiology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 331731
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0064093 | Medicaid | OH | |
| 1027686330001 | Medicaid | PA | |
| P01083159 | Other | OH | RAILROAD MEDICARE |
| 204881619 | Other | OH | KAISER |
| 204881619259 | Other | OH | CARESOURCE |
| 9079891 | Other | OH | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, SC, IL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
- Lincoln Medical & Mental Health Center
- Metropolitan Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 331731 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Carle Health Care Incorporated | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Carle Bromenn Medical Center | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Carle Eureka Hospital | Current | Accepting new patients | |
| Richland Memorial Hospital, Inc | Current | Accepting new patients | |
| Carle West Physician Group Inc | Current | 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
- 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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Clinic/Center
- Normal, IL
- NPI 1104442615
-
- Critical Access Hospital
- Eureka, IL
- NPI 1184644023
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Family Medicine Physician
- Normal, IL
- NPI 1467074138
-
- Internal Medicine Physician
- Hoopeston, IL
- NPI 1043683014
-
- Critical Access Hospital
- Olney, IL
- NPI 1467492124
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Clinic/Center
- Brooklyn, NY
- NPI 1356406136
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- General Acute Care Hospital
- Normal, IL
- NPI 1962424036
-
- Critical Access Hospital
- Hoopeston, IL
- NPI 1366480873
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1013924372
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.