Active NPI
Meghan Rose Brunswick-Basile, D.O
- Pediatric Gastroenterology Physician
- Binghamton, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 300991
- Practice address
- 40 Mitchell Ave
#3
Binghamton, NY 13903 - Phone
- (607) 772-0639
- NPI assigned
- May 31, 2016
- Last updated
- Nov 12, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MDO.39240 LL | SC | |
| Pediatrics Physician | 208000000X | 300991 | NY | |
| Pediatric Gastroenterology Physician | 2080P0206X | 300991 | NY | Primary |
Addresses
Primary practice location
40 Mitchell Ave
#3
Binghamton, NY 13903
Mailing address
40 Mitchell Ave
#3
Binghamton, NY 13903
Phone (607) 772-0639
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
40 Mitchell Ave
Binghamton, NY 13903-1678
Phone (607) 772-0639
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDO.39240 LL | SC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates PC | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| United Medical Associates, P.C. | Current | Accepting new patients | |
| University of Rochester | Current | Accepting new patients | |
| Pediatric G I Nutrition | Pediatric Gastroenterology | Current | Accepting new patients |
| University of Rochester | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients |
Locations
8836 State Route 434
Apalachin, NY 13732
Phone (607) 625-4151
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555
601 Elmwood Ave
#635
Rochester, NY 14642
Phone (585) 275-2821
601 Elmwood Ave
#667
Rochester, NY 14642
Phone (585) 275-2647
Interoperability endpoints
- mbrunswick103693@direct.urmc.rochester.edu
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Internal Medicine Physician
- Rochester, NY
- NPI 1710226824
-
- Pediatric Gastroenterology Physician
- Rochester, NY
- NPI 1710918305
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
dba Strong Memorial Hospital-University of Rochester
- Community/Retail Pharmacy
- Rochester, NY
- NPI 1598476269
-
dba Strong Memorial Hospital MD Group
- Internal Medicine Physician
- Rochester, NY
- NPI 1821152588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1700234788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MITCHELL AVE",
"address_2": "#3",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-772-0639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MITCHELL AVE",
"address_2": "#3",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13903",
"telephone_number": "607-772-0639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNSWICK-BASILE",
"first_name": "MEGHAN",
"middle_name": "ROSE",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-31",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "SC",
"license": "MDO.39240 LL",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "300991",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "NY",
"license": "300991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Binghamton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.