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BRANDON MICHAEL COSTELLO D.O.
NPI 1740556174
Pediatrics - Neonatal-Perinatal Medicine in San Diego, CA

Active since March 29, 2012PECOS Enrolled
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6474 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2026, May 21, 2026 (2 updates tracked since 2026).

About Brandon Michael Costello D.o. NPPES

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

BRANDON MICHAEL COSTELLO D.O. (NPI 1740556174) is an individual neonatal-perinatal medicine provider in San Diego, California, licensed in Connecticut (83379) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740556174
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameBRANDON MICHAEL COSTELLOCredential: D.O.
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address68 Charter Ridge DrSandy Hook, CT 06482-1574 · (716) 536-1534
Phone(619) 532-6474
Sole ProprietorYes
Enumeration DateMarch 29, 2012
Last NPPES UpdateJuly 20, 20262 updates tracked since enumeration
NPPES CertifiedJuly 20, 2026
✔ NPI 1740556174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CT · 83379
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
34800 BOB WILSON DR, San Diego, CA 92134
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Michael Costello D.o. 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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Costello reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Connecticut Children's Specialty Group, Inc.
2,500 mi
Pediatrics
282 WASHINGTON ST
Hartford, CT 06106
  • Reassigned Medicare billing, Connecticut enrollment
  • 601 clinicians in this Medicare group
NPI 1669448882 (860) 545-9000

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

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.

LORENA MARIE FUJII N.P.
Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-8910
JANELLE MARIE MARRA DO
Family Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
LAKIESHA NICOLE MURPHY
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 713-3385
SUSANNA BYRNE D.O.
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
DR. PAUL CHARLES CAMPBELL D.O.
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-7200
PHILLIP EDWARD FRY JR. DO
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400
BRADLY JAMES STILLEY IDC
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (360) 941-9989
DR. ELIZABETH WHIPPLE PHD
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
San Diego County (619) 532-6400

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 Brandon Costello's NPI number?

The NPI number for Brandon Costello is 1740556174. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Brandon Costello located?

Brandon Costello practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6474.

What is Brandon Costello's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Brandon Costello enrolled in Medicare?

Yes. Brandon Costello is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Costello's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Costello reassigns Medicare benefits to Connecticut Children's Specialty Group, Inc. (Hartford, CT). The 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 Brandon Costello's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brandon Costello was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.