Active NPI
Bryan E. McDonnell, MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 01077245A
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780682781 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmcdonnell@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Georgetown University School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077245A | IN | MD | Surgery Physician |
| MD061574L | PA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 010122217 | VA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 67069 | WI | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital, Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Physicians, Inc. | Surgery | Current | Accepting new patients |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Surgery | Current | Accepting new patients |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Union Hospital Inc. | Current | Accepting new patients | |
| Ctvsa Wisconsin S.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Past | 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
- bmcdonnell@direct.iuhealth.org
- 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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
-
- Family Medicine Physician
- Muncie, IN
- NPI 1235455544
Surgery
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
dba Marquette General Family Medicine - Marquette
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Surgery
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
-
- Family Medicine Physician
- Terre Haute, IN
- NPI 1013965573
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba UP Health System Pediatric Specialists
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Oak Lawn, IL
- NPI 1780679407
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Kenosha, WI
- NPI 1225318090
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.