Brandon Shaun Allport Altillo, MD, MPH

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7644 Issued in TX

Practice address

2901 Montopolis Dr
Austin, TX 78741-6411

Phone

(512) 978-9901

Fax

(512) 901-9765

NPI assigned

Mar 19, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Brandon Shaun Allport Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal MedicineAlso: Pediatric Medicine

Education

Baylor College of Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Central Texas Community Health CentersGroup PAC ID 5395802151, 165 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brandon.allport.p1@direct.lscctx.nextgenshare.com
• Direct secure messaging: brandon.allport.1@16041.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Texas Community Health Centers

  dba CommUnityCare

  • Family Medicine Physician
  • Austin, TX
  • NPI 1427882091

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233

  Internal Medicine

  Medicare reassignment NPD
• Central Texas Community Health Centers

  dba CommUnityCare

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1598591414
  NPD
• Seton Family of Doctors

  dba One Medical Group of Texas

  • Family Medicine Physician
  • Austin, TX
  • NPI 1225644065

  Internal Medicine

  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ascension Seton

  dba Ascension Seton Medical Center Austin

  • General Acute Care Hospital
  • Austin, TX
  • NPI 1164526786
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1013282375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 MONTOPOLIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416411",
            "telephone_number": "512-978-9901",
            "fax_number": "512-901-9765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 MONTOPOLIS DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787416411",
            "telephone_number": "512-978-9901",
            "fax_number": "512-901-9765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTILLO",
        "first_name": "BRANDON",
        "middle_name": "SHAUN ALLPORT",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "R7644",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D81065",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R7644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDON",
            "last_name": "ALLPORT",
            "middle_name": "SHAUN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kendall Faith Altaffer, PMHNP-BC
• Lydia Emily Altamiranda
• Taryn Jodi Altendorfer, L.AC
• Linda Marie Altenhoff, DDS
• Altha Psychiatry and Wellness PLLC
• Ashley Altman Suchocki
• Alto Pharmacy LLC (Alto Specialty Pharmacy)
• Alton Chiropractic PC
• Cindy Altonburg, DNP, APRN, FNP-C
• Deborah Lynn Altsman, R PH

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.