Individual provider Active NPI

Meghan Rose Brunswick-Basile, D.O

  • Pediatric Gastroenterology Physician
  • Binghamton, NY
National Provider Identifier
1700234788
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
300991 Issued in NY
Practice address
40 Mitchell Ave
#3
Binghamton, NY 13903
Phone
(607) 772-0639
NPI assigned
May 31, 2016
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220713002569 NY Practitioner - Pediatric Medicine 8820376817 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
MDO.39240 LLSCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Medical Associates PC CurrentSince Sep 21, 2025 Accepting new patients
University of Rochester CurrentSince Aug 12, 2022 Accepting new patients
United Medical Associates, P.C. CurrentSince Sep 21, 2025 Accepting new patients
University of Rochester Current Accepting new patients
Pediatric G I Nutrition Pediatric Gastroenterology CurrentSince Aug 12, 2022 Accepting new patients
University of Rochester CurrentSince Aug 12, 2022 Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Sep 21, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.