Brandi Nichole Smith McGraw, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

605 Issued in NM

Practice address

816 Boardman Dr
Gallup, NM 87301-4711

Phone

(505) 339-2015

Fax

(505) 492-0904

NPI assigned

Feb 9, 2009

Last updated

Jan 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NM

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gallup Eye Group LLCGroup PAC ID 4183957384, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Gallup Eye Group LLC

  • Optometrist
  • Gallup, NM
  • NPI 1073090650
  Medicare reassignment Care Compare group NPD Authorized official
• Uptown Eye Care LLC

  • Optometrist
  • Albuquerque, NM
  • NPI 1396245098
  Authorized official Same address or phone
• Cherokee Indian Hospital Authority

  dba Ciha Analenisgi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cherokee, NC
  • NPI 1588840318
  NPD (past)
• Cherokee Indian Hospital Authority

  • General Acute Care Hospital
  • Cherokee, NC
  • NPI 1770662348
  NPD (past)
• DHHS PHS Naihs Fort Defiance Hospital

  dba PHS Fort Defiance Indian Hospital

  • General Acute Care Hospital
  • Fort Defiance, AZ
  • NPI 1700962131
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1861631293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 BOARDMAN DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014711",
            "telephone_number": "505-339-2015",
            "fax_number": "505-492-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 BOARDMAN DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014711",
            "telephone_number": "505-339-2015",
            "fax_number": "505-492-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "BRANDI",
        "middle_name": "NICHOLE SMITH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD CARRIER",
            "identifier": "P00841382",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "525331",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08778311",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaydee McCray, OD
• Cora Beth McDanal, RN
• Onwumere McDonald, RN
• Cassia McDowell, COTA/L
• Donna McGowan
• Matthew David McGraw, OD
• Jane Gertrude McIntyre, RN
• Forde McIver III
• David C McKenzie, MD
• Marian H McKenzie, CNP

• Optometrist in Gallup, NM
• Providers in Gallup, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.

Verify at the official NPI Registry.