Individual provider Active NPI

Bradley Brenner, MD

  • Diagnostic Radiology Physician
  • Austin, TX
National Provider Identifier
1043214901
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
L2152 Issued in TX
Practice address
12554 Riata Vista Cir
Austin, TX 78727-6431
Phone
(512) 795-5100
Fax
(512) 795-5122
NPI assigned
Jun 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X L2152 TX Primary

Addresses

Primary practice location

12554 Riata Vista Cir
Austin, TX 78727-6431

Mailing address

12554 Riata Vista Cir
Austin, TX 78727-6431
Phone (512) 795-5100

Other identifiers 6

IdentifierTypeStateIssuer
P00282122OtherRRMCARE2
146838102OtherTXCSCHN1
P00145598OtherRRMCARE
146838103OtherTXCSHCN2
146838102MedicaidTX
146838103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040128000181 TX Practitioner - Diagnostic Radiology 3678476850 Reassigns benefits to 2 organizations
I20260602002617 CO Practitioner - Diagnostic Radiology 3678476850 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Austin Radiological AssociationGroup PAC ID 4880686179, 126 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

Practice addresses (Care Compare)

101 Sunny Ridge PL Unit
Suite 101
Mountain Village, CO 81435-9265
Phone (512) 795-5100

11714 Wilson Parke Ave
175 Austin Radiological Association Wilson
Austin, TX 78726-0002
Phone (512) 519-3457

12700 Lexington St
Unit 300
Manor, TX 78653-2012
Phone (512) 776-1158

1301 W 38TH St
Suite 118
Austin, TX 78705-1010
Phone (512) 454-7380

1901 Wimberly LN
Austin, TX 78735-1566
Phone (512) 795-5100

2000 Scenic Dr
Georgetown, TX 78626-7726
Phone (512) 930-5338

4201 Marathon Blvd
Suite 300
Austin, TX 78756-3436
Phone (713) 461-3573

4211 Benner
Suite 100
Kyle, TX 78640-2140
Phone (512) 776-1150

4515 Seton Ctr Pkwy
Suite 105
Austin, TX 78759-5268
Phone (512) 519-3402

5625 Eiger Rd
165 Austin Radiological Association Village
Austin, TX 78735-8980
Phone (512) 519-3474

6818 Austin Ctr Blvd
Suite 101
Austin, TX 78731-3199
Phone (512) 795-8505

901 W 38TH St
Suite 100
Austin, TX 78705-1164
Phone (512) 795-5100

Hospital & facility affiliations

  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Ascension Seton Medical Center Austin Hospital, Austin, TX, CCN 450056
  • North Austin Medical Center Hospital, Austin, TX, CCN 450809

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L2152TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ara/St. David'S Imaging, LP CurrentSince Sep 27, 2010 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince May 21, 2007 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Nov 1, 2004 Accepting new patients
Ara/St. David'S Imaging, LP CurrentSince Nov 1, 2004 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Jul 1, 2019 Accepting new patients
Austin Radiological Association CurrentSince Sep 1, 2004 Accepting new patients
Central Texas Oncology Associates, P.a. Past Accepting new patients
Texas Orthopedics Sports & Rehabilitation Associates PA Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Texas Orthopedics, Sports & Rehabilitation Associates, PA Past Accepting new patients

Locations (25 of 27)

1301 W 38th St
Ste 118
Austin, TX 78705
Phone (512) 454-7380

2501 W William Cannon Dr
Bldg 5
Austin, TX 78745
Phone (512) 346-7311

1701 W Ben White Blvd
Ste 170
Austin, TX 78704
Phone (512) 428-9090

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5625 Eiger Rd
Ste 165
Austin, TX 78735
Phone (512) 519-3474

1301 Barbara Jordan Blvd
Ste 104
Austin, TX 78723
Phone (512) 480-0761

6818 Austin Center Blvd
Ste 101
Austin, TX 78731
Phone (512) 794-8505

4515 Seton Center Pkwy
Ste 105
Austin, TX 78759
Phone (512) 519-3402

11714 Wilson Parke Ave
Ste 175
Austin, TX 78726
Phone (512) 519-3457

901 W 38th St
Ste 100
Austin, TX 78705
Phone (512) 519-3462

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

4201 Marathon Blvd
Ste 300
Austin, TX 78756
Phone (512) 458-6060

12800 W Parmer Ln
Ste 200
Cedar Park, TX 78613
Phone (512) 485-7199

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

170 Benney Ln
Ste 101
Dripping Springs, TX 78620
Phone (512) 776-1176

2000 Scenic Dr
Georgetown, TX 78626
Phone (512) 863-2117

3201 S Austin Ave
Ste 105
Georgetown, TX 78626
Phone (512) 863-4648

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

4211 Benner
Ste 100
Kyle, TX 78640
Phone (512) 776-1150

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

12700 Lexington St
Unit 300
Manor, TX 78653
Phone (512) 776-1158

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

2120 N Mays St
Ste 220
Round Rock, TX 78664
Phone (512) 238-7195

Interoperability endpoints

  • Direct secure messaging: bbrenner@yourcarecommunity.org

Organizations & group practices 10

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1043214901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12554 RIATA VISTA CIR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787276431",
            "telephone_number": "512-795-5100",
            "fax_number": "512-795-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNER",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L2152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE2",
            "identifier": "P00282122",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSCHN1",
            "identifier": "146838102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCARE",
            "identifier": "P00145598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN2",
            "identifier": "146838103",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146838102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146838103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.