Dr. Brandon Timothy McDonald, DO
Family Medicine, Sports Medicine in Florence, SC. Individual provider (NPI-1).
NPI number1346779477
StatusActive
Last updated in NPPESSep 21, 2021
Details
- NPI
- 1346779477
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brandon Timothy McDonald
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2017
- Certification date
- Sep 21, 2021
- Last updated
- Sep 21, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - SPORTS MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 40718 | SC | Yes |
| 207Q00000X | Family Medicine | 85773 | GA | |
| 207Q00000X | Family Medicine | LL40718 | SC |
Practice location
1005 E Cheves StFlorence, SC 29506-2707
Phone 843-777-7900 · Fax 843-777-7925
Mailing address
Po Box 3239Florence, SC 29502-3239
Phone 843-777-7900 · Fax 843-777-7925
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