BRIAN TODD MCCULLOUGH
NPI 1417629817
Dentist - General Practice in Brandon, MS

Q: What is Brian Mccullough's NPI number?

The NPI number for Brian Mccullough is 1417629817. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Q: What is Brian Mccullough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Brian Mccullough was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 04, 2021PECOS Enrolled

706 BELLE OAK TRL, BRANDON, MS 39042(166) 254-9795 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brian Todd Mccullough NPPES

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

BRIAN TODD MCCULLOUGH (NPI 1417629817) is an individual general practice provider in Brandon, Mississippi, licensed in Mississippi (4251-21) and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417629817

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameBRIAN TODD MCCULLOUGH

Location Address706 BELLE OAK TRLBrandon, MS 39042-8205

Mailing Address706 Belle Oak TrlBrandon, MS 39042-8205 · (166) 254-9795

Phone(166) 254-9795

Sole ProprietorYes

Enumeration DateOctober 4, 2021

NPPES CertifiedMay 9, 2021

✔ NPI 1417629817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MS · 4251-21

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

706 BELLE OAK TRL, Brandon, MS 39042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian Todd Mccullough is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39042 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

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.

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 Mccullough's NPI number?

The NPI number for Brian Mccullough is 1417629817. It was assigned to this individual provider in the NPPES registry on October 4, 2021.

Where is Brian Mccullough located?

Brian Mccullough practices at 706 Belle Oak Trl, Brandon, MS 39042. The listed phone number is (166) 254-9795.

What is Brian Mccullough's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Mccullough enrolled in Medicare?

Yes. Brian Mccullough is registered in the Medicare PECOS enrollment system.

What insurance does Brian Mccullough accept?

Health plans from Anthem Blue Cross and Blue Shield, Arkansas Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 10 other insurers list Brian Mccullough 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 Mccullough was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.