Individual provider Active NPI

Bryan E. McDonnell, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Muncie, IN
National Provider Identifier
1780682781
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
01077245A Issued in IN
Practice address
2525 W University Ave Ste 300
Muncie, IN 47303-3432
Phone
(765) 747-3883
NPI assigned
Jul 13, 2005
Last updated
Oct 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01077245A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301089061 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01077245A IN Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD061574L PA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 010122217 VA

Addresses

Primary practice location

2525 W University Ave Ste 300
Muncie, IN 47303-3432

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1802 Braeburn Dr
Salem, VA 24153-7357
Phone (615) 373-7600

Other practice location 2

707 W 2nd St
Bloomington, IN 47403-2209
Phone (812) 334-5081

Other identifiers 1

IdentifierTypeStateIssuer
1780682781MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmcdonnell@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20080222000548 MI Practitioner - Thoracic SurgeryPractitioner - General Surgery 8022112937 Reassigns benefits to 1 organization
I20160823000101 IN Practitioner - Thoracic SurgeryPractitioner - General Surgery 8022112937 Reassigns benefits to 3 organizations
I20171023002860 WI Practitioner - Thoracic Surgery 8022112937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Georgetown University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

707 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

719 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

727 W 2ND St
Bloomington, IN 47403-2209
Phone (888) 484-3258

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01077245AINMDSurgery Physician
MD061574LPAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
010122217VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
67069WIMDPediatric Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital, Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Current Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 15, 2016 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. Surgery CurrentSince Sep 1, 2022 Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
DLP Marquette Physician Practices Inc Surgery CurrentSince Jun 15, 2016 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Sep 19, 2017 Accepting new patients
Union Hospital Inc. Current Accepting new patients
Ctvsa Wisconsin S.C. Thoracic Surgery (Cardiothoracic Vascular Surgery) PastSince Jan 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Cardiothoracic & Vascular Surgical Associates S C Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

2525 W University Ave
Ste 300
Muncie, IN 47303
Phone (765) 289-5420

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

1414 W Fair Ave
Ste 342
Marquette, MI 49855
Phone (906) 225-3870

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-4201

3803 Spring St
Ste 400
Mount Pleasant, WI 53405
Phone (262) 687-8208

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: bmcdonnell@direct.iuhealth.org
  • Direct secure messaging: bmcdonnell@unionhealth.cernerdirect.com

Organizations & group practices 11

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 2

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": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1780682781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W UNIVERSITY AVE STE 300",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473033432",
            "telephone_number": "765-747-3883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 Braeburn Dr",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "VA",
            "postal_code": "241537357",
            "country_code": "US",
            "telephone_number": "615-373-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032209",
            "country_code": "US",
            "telephone_number": "812-334-5081",
            "fax_number": "812-334-5091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "BRYAN",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01077245A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301089061",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01077245A",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD061574L",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "010122217",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780682781",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmcdonnell@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2525 W University Ave Ste 300",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473033432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.