Individual provider Active NPI

Steven Brent Brotzman, M.D.

  • Specialist
  • Austin, TX
National Provider Identifier
1023015773
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H6077 Issued in TX
Practice address
11652 Jollyville Rd
Austin, TX 78759-3935
Phone
(512) 977-0000
Fax
(512) 977-0020
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H6077 TX Primary
Orthopaedic Surgery Physician 207X00000X H6077 TX

Addresses

Primary practice location

11652 Jollyville Rd
Austin, TX 78759-3935

Mailing address

11652 Jollyville Rd
Austin, TX 78759-3935
Phone (512) 977-0000

Other identifiers 1

IdentifierTypeStateIssuer
82160XOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100305000707 TX Practitioner - Orthopedic Surgery 6305808593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Baylor College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
S Brent Brotzman MD PAGroup PAC ID 8224090410, 2 clinicians

Practice addresses (Care Compare)

11652 Jollyville Rd
Austin, TX 78759-3935
Phone (512) 977-0000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
S. Brent Brotzman, MD PA CurrentSince Mar 21, 2016 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

12201 Renfert Way
Ste 355
Austin, TX 78758
Phone (512) 977-0000

11652 Jollyville Rd
Austin, TX 78759
Phone (512) 551-0375

12221 N Mopac Expy
#D
Austin, TX 78758
Phone (513) 901-2503

1401 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 244-0766

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1023015773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11652 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593935",
            "telephone_number": "512-977-0000",
            "fax_number": "512-977-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11652 JOLLYVILLE RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593935",
            "telephone_number": "512-977-0000",
            "fax_number": "512-977-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTZMAN",
        "first_name": "STEVEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H6077",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "H6077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82160X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.