DR. BRANDON WILLIAM MCNALLY (M.D.) – Dermatopathology Physician, NPI 1073740833

DR. BRANDON WILLIAM MCNALLY (M.D.) is a healthcare provider. based in Grandville, Michigan. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. 4301501420 (MI). The NPI Number for DR. BRANDON WILLIAM MCNALLY (M.D.) is 1073740833

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRANDON WILLIAM MCNALLY (M.D.)
NPI
1073740833
Phone
(616) 257-3344
Address
3434 RIVERTOWN POINT CT SW
Enumeration Date
18 June 2009
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6162573344
Graduation Year
2009 (17 years ago)
PAC ID
2163609744
Group Practice PAC ID
3375538432
Professional Enrollment ID
I20200622000729
Address ID
MI494183076GR3434XSWXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

532 DERMATOLOGY in MI

Provider Addresses for DR. BRANDON WILLIAM MCNALLY (M.D.)

  • 3434 RIVERTOWN POINT CT SW

    GRANDVILLE, MI 494183076

    Phone: (616) 257-3344

    Fax: (616) 257-1491

    Type: Mailing

  • 1100 WILFORD HALL LOOP BLDG 4554

    JBSA LACKLAND, TX 782365638

    Phone: (989) 529-3647

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 263 Open Payments records for all available years, with a total value of $4,612.

Total Amount is formed as General ($4,612) + Research ($0) + Ownership ($0) = $4,612.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($723).

Total Amount

$4,612

General + Research + Ownership

Payments

263

Total payment records

General Amount

$4,612

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200622000729IDermatologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity1,414804$0
17003Destruction of precancer skin growth, 2-14 growths26453$0
88342Special stained specimen slides to examine tissue, initial procedure191134$0
88344Special stained specimen slides to examine tissue, each multiplex procedure11691$0
88341Special stained specimen slides to examine tissue, each additional procedure10937$0
View full utilization report →

Insurance plans in this area (ZIP 49418)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375538432View full group profile
NameSpecialtyState
D E R M A T O L O G YMI
Physician AssistantMI
Physician AssistantMI
D E R M A T O L O G YIA
Physician AssistantMI
D E R M A T O L O G YMI
D E R M A T O L O G YMI
Micrographic Dermatologic Surgery (Mds), DermatologyMI
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify DR. BRANDON WILLIAM MCNALLY (M.D.) with an NPI only?
You can start verification with NPI 1073740833 for DR. BRANDON WILLIAM MCNALLY (M.D.), then check state licensing separately.
Can I rely on DR. BRANDON WILLIAM MCNALLY (M.D.) being an active provider?
As of the registry snapshot, DR. BRANDON WILLIAM MCNALLY (M.D.) is marked active.
What is DR. BRANDON WILLIAM MCNALLY (M.D.)'s primary classification?
Dermatopathology Physician is the headline specialty for DR. BRANDON WILLIAM MCNALLY (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. BRANDON WILLIAM MCNALLY (M.D.) on a map?
Expect Grandville, Michigan as a primary anchor for DR. BRANDON WILLIAM MCNALLY (M.D.) unless the record lists multiple sites.
Why does DR. BRANDON WILLIAM MCNALLY (M.D.) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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