DR. BRIAN PHILIP DUNHAM MD
NPI 1336275197
Otolaryngology in Philadelphia, PA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104(215) 590-3440(215) 590-3986 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Brian Philip Dunham Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN PHILIP DUNHAM MD (NPI 1336275197) is an individual otolaryngology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD426584) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Stanford University School Of Medicine (1994).

NPPES Registry Identity

NPI1336275197
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BRIAN PHILIP DUNHAMCredential: MD
Location Address3401 CIVIC CENTER BLVDPhiladelphia, PA 19104-4319
Mailing Address3401 Civic Center BlvdPhiladelphia, PA 19104-4319 · (267) 425-9538 · Fax (267) 425-9552
Fax(215) 590-3986
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 1994
Enumeration DateFebruary 26, 2007
Last NPPES UpdateSeptember 3, 2024
NPPES CertifiedSeptember 3, 2024
✔ NPI 1336275197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in PA · MD426584
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104

Secondary Practice Location 1

Location 13500 Civic Center BlvdPhiladelphia, PA 19104-4395 · Phone (215) 590-3440 · Fax (267) 425-9552

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Philip Dunham Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789633850
PECOS Enrollment IDI20070723000253, I20250220001400
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Brian Dunham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urology
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 178 clinicians in this Medicare group
Otolaryngology
1012 LAUREL OAK RD, SUITE 1
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Dunham's NPI number?

The NPI number for Brian Dunham is 1336275197. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Brian Dunham located?

Brian Dunham practices at 3401 Civic Center Blvd, Philadelphia, PA 19104. The listed phone number is (215) 590-3440.

What is Brian Dunham's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Dunham enrolled in Medicare?

Yes. Brian Dunham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Brian Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Dunham reassigns Medicare benefits to 2 organizations: Children's Surgical Associates Ltd (Philadelphia, PA) and Children's Surgical Associates Of New Jersey Inc (Voorhees, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Dunham accept?

Health plans from Oscar Health list Brian Dunham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Dunham was last updated on September 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.