NPIMap

Individual provider Active NPI

Brandon Robert McMullen, PA-C

  • Medical Physician Assistant
  • Salisbury, MD
National Provider Identifier
1588937296
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 543-7531
NPI assigned
Feb 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 543-7531

Other identifiers 2

IdentifierTypeStateIssuer
C0004697OtherMDMARYLAND STATE LICENSE
C5-0000821OtherDEDE PA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120824000650 DE Practitioner - Physician Assistant 0345400412 Reassigns benefits to 1 organization
I20130108000086 MD Practitioner - Physician Assistant 0345400412 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailwinds Medical, LLCGroup PAC ID 6901271717, 7 clinicians

Practice addresses (Care Compare)

1000 Goodwill Ave
Cambridge, MD 21613-2972
Phone (443) 972-4204

Hospital & facility affiliations

  • Adoration Home Health Home health agency, Salisbury, MD, CCN 217111
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Tidalhealth Peninsula Regional, Inc Hospital, Salisbury, MD, CCN 210019
  • University of MD Shore Medical Center at Easton Hospital, Easton, MD, CCN 210037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sailwinds Medical, LLC Current Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 2, 2013 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Feb 20, 2012 Accepting new patients
Sailwinds Medical, LLC CurrentSince Oct 23, 2022 Accepting new patients
Tidalhealth Peninsula Regional, Inc. CurrentSince Jan 2, 2013 Accepting new patients
M.S. Shariff, M.D., P.a. CurrentSince Oct 18, 2014 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515

505 Byrn St
Cambridge, MD 21613
Phone (202) 877-7685

1000 Goodwill Ave
Cambridge, MD 21613
Phone (443) 972-4204

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

106 Milford St
Ste 201
Salisbury, MD 21804
Phone (410) 543-1616

145 E Carroll St
Salisbury, MD 21801
Phone (410) 546-6400

Interoperability endpoints

  • Direct secure messaging: bmcmullen14638@direct.umm.edu

Organizations & group practices 12

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.

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": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1588937296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-543-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-13",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE LICENSE",
            "identifier": "C0004697",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE PA LICENSE",
            "identifier": "C5-0000821",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.