Brandon M Costello, DO
Pediatrics, Neonatal-Perinatal Medicine in San Diego, California
1740556174- Practice location
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098
- Phone
- 619-532-6474
- Fax
- —
- Last updated
- July 20, 2026
Brandon Michael Costello is a Pediatrics, Neonatal-Perinatal Medicine based in San Diego, CA. Brandon Michael Costello practices in San Diego, CA and has the professional credentials of DO. The NPI Number for Brandon Michael Costello is 1740556174 and holds a License No. 83379 (CT). The current practice location address for Brandon Michael Costello is 34800 Bob Wilson Dr, San Diego, CA 92134-1098 and can be reached out via phone at 619-532-6474.
Provider Profile Details
- NPI Number
- 1740556174
- Provider Name
- Brandon Michael Costello
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098
- Phone Number
- 619-532-6474
- Primary Taxonomy
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 29, 2012
- Last Update Date
- July 20, 2026
- Certification Date
- July 20, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 34800 Bob Wilson Dr
San Diego, CA 92134-1098 - City
- San Diego
- State
- California
- Zip
- 92134-1098
- Phone Number
- 619-532-6474
Provider Business Mailing Address Details
- Address
- 68 Charter Ridge Dr
Sandy Hook, CT 06482-1574 - City
- Sandy Hook
- State
- CT
- Zip
- 06482-1574
- Phone Number
- 716-536-1534
License Information
- License Number (1)
- 83379
- License State (1)
- CT
- Taxonomy (1)
- Pediatrics, Neonatal-Perinatal Medicine · 2080N0001X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- Taxonomy (3)
- Military Health Care Provider · 171000000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Brandon M Costello, DO?
The NPI number of Brandon M Costello, DO is 1740556174. It was assigned on March 29, 2012 and is currently active in the NPPES registry.
What is the specialty of Brandon M Costello, DO?
Brandon M Costello, DO is registered under the primary taxonomy Pediatrics, Neonatal-Perinatal Medicine (code 2080N0001X), licensed in CT under license number 83379.
Where does Brandon M Costello, DO practice?
The practice location is 34800 Bob Wilson Dr, San Diego, CA 92134-1098. The office can be reached at 619-532-6474 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740556174 directly on the NPPES registry website.