NPIMap

Individual provider Active NPI

Brandon Bryce Martin, M.D.

  • Obstetrics & Gynecology Physician
  • Sellersville, PA
National Provider Identifier
1508229212
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD470305 Issued in PA
Practice address
670 Lawn Ave # 4
Sellersville, PA 18960-1571
Phone
(215) 257-0414
NPI assigned
Mar 30, 2016
Last updated
Jun 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X MD470305 PA
General Practice Physician 208D00000X MD470305 PA
Obstetrics & Gynecology Physician 207V00000X MD470305 PA Primary

Addresses

Primary practice location

670 Lawn Ave # 4
Sellersville, PA 18960-1571

Mailing address

670 Lawn Ave # 4
Sellersville, PA 18960-1571
Phone (215) 257-0414

Other practice location 1

270 Main St Ste 104
Harleysville, PA 19438-2400
Phone (215) 257-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000540 PA Practitioner - Obstetrics/Gynecology 5092138289 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Star Community Health IncGroup PAC ID 7618215237, 56 clinicians
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

450 Chew St
Allentown, PA 18102-3434

511 E 3Rd St
Unit 301
Bethlehem, PA 18015-2096
Phone (484) 619-0975

670 Lawn Ave
Suite 4
Sellersville, PA 18960-1571
Phone (215) 257-0414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD470305PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc General Practice CurrentSince Jan 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Obstetrics & Gynecology CurrentSince Apr 1, 2021 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Apr 1, 2021 Accepting new patients
Star Community Health, Inc CurrentSince Jan 1, 2023 Accepting new patients
St Lukes Quakertown Hospital Past Accepting new patients

Locations

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

77 S Commerce Way
Bethlehem, PA 18017
Phone (484) 526-2538

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

270 Main St
Ste 104
Harleysville, PA 19438
Phone (215) 257-0414

270 Main St
Ste 4
Harleysville, PA 19438
Phone (215) 256-1999

670 Lawn Ave
Sellersville, PA 18960
Phone (215) 257-0414

670 Lawn Ave
#4
Sellersville, PA 18960
Phone 2152570414 ext. 0

670 Lawn Ave
Ste 4
Sellersville, PA 18960
Phone (215) 257-0414

Interoperability endpoints

  • Direct secure messaging: brandon.martin@slpg.direct-sluhn.org

Organizations & group practices 6

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 8

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1508229212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE # 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 LAWN AVE # 4",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601571",
            "telephone_number": "215-257-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Main St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Harleysville",
            "state": "PA",
            "postal_code": "194382400",
            "country_code": "US",
            "telephone_number": "215-257-0414",
            "fax_number": "215-257-1740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BRANDON",
        "middle_name": "BRYCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "PA",
            "license": "MD470305",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "MD470305",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD470305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.