Active NPI
Heather Lea Branstetter, MD
- Gastroenterology Physician
- Ft Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R5247
- Practice address
- 6317 Harris Pkwy Ste 300
Ft Worth, TX 76132-4258 - Phone
- (817) 361-6900
- Fax
- (817) 522-1968
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6149 | AK | |
| Pediatrics Physician | 208000000X | MD4336 | AK | |
| Gastroenterology Physician | 207RG0100X | R5247 | TX | Primary |
Addresses
Primary practice location
6317 Harris Pkwy Ste 300
Ft Worth, TX 76132-4258
Mailing address
6317 Harris Pkwy Ste 300
Ft Worth, TX 76132-4258
Phone (817) 361-6900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1014965 | Medicaid | AK |
Other names 1
- Heather Lea Woller
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Louisville School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
505 S Nolen Dr
A
Southlake, TX 76092-9167
Phone (817) 424-1525
Hospital & facility affiliations
- Texas Health Harris Methodist Hospital Southwest F
- Texas Health Harris Methodist Fort Worth
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 66 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 76 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4336 | AK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Northern Hospital Associates LLC | Past | Accepting new patients |
Locations
6317 Harris Pkwy
Ste 300
Ft Worth, TX 76132
Phone (817) 361-6900
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525
Organizations & group practices 4
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Hospitalist Physician
- Fairbanks, AK
- NPI 1538204474
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1417980202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540252800000",
"number": "1023153103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 HARRIS PKWY STE 300",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761324258",
"telephone_number": "817-361-6900",
"fax_number": "817-522-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6317 HARRIS PKWY STE 300",
"city": "FT WORTH",
"state": "TX",
"postal_code": "761324258",
"telephone_number": "817-361-6900",
"fax_number": "817-522-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANSTETTER",
"first_name": "HEATHER",
"middle_name": "LEA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2018-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AK",
"license": "6149",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AK",
"license": "MD4336",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R5247",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014965",
"state": "AK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "WOLLER",
"middle_name": "LEA",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Ft Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.