Organization Active NPI

Geremy L Sanders MD PA

  • Interventional Pain Medicine Physician
  • Austin, TX
National Provider Identifier
1013292317
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
GEREMY L SANDERS MD PA
Practice address
9010 Brodie LN Ste D-100
Austin, TX 78748-5186
Phone
(512) 329-5705
Fax
(512) 329-5720
NPI assigned
Oct 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Geremy L Sanders, MDNPI 1952503948
Title
Owner of PA
Phone
(512) 329-5705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

9010 Brodie LN Ste D-100
Austin, TX 78748-5186

Mailing address

9010 Brodie LN Ste D-100
Austin, TX 78748-5186
Phone (512) 329-5705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000548 TX Part B Supplier - Clinic/Group Practice 1355509563 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

911 W 38th St
Ste 303
Austin, TX 78705
Phone (512) 329-5705

9010 Brodie Ln
Ste D100
Austin, TX 78748
Phone (512) 329-5705

102 Westlake Dr
Ste 103
West Lake Hills, TX 78746
Phone (512) 327-7779

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1013292317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9010 BRODIE LN STE D-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485186",
            "telephone_number": "512-329-5705",
            "fax_number": "512-329-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9010 BRODIE LN STE D-100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485186",
            "telephone_number": "512-329-5705",
            "fax_number": "512-329-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEREMY L SANDERS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-18",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "GEREMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER OF PA",
        "authorized_official_telephone_number": "512-329-5705",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.