Individual provider Active NPI

Michael William Braden, M.D.

  • Dermatology Physician
  • Comfort, TX
National Provider Identifier
1043247455
Registry record updated Dec 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
H0203 Issued in TX
Practice address
641 High Street
Comfort, TX 78013
Phone
(830) 997-0854
NPI assigned
Jun 28, 2006
Last updated
Dec 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X H0203 TX Primary

Addresses

Primary practice location

641 High Street
Comfort, TX 78013

Mailing address

641 High Street
Comfort, TX 78013
Phone (830) 997-0854

Other identifiers 1

IdentifierTypeStateIssuer
099111903MedicaidTX

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
I20100920000330 TX Practitioner - Dermatology 5698824795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

641 High St
Comfort, TX 78013-2350
Phone (830) 997-0854

Merit-based Incentive Payment System (MIPS)

Final score
53.89 of 100Reported as individual
Quality
58.16
Promoting interoperability
73
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision108
Removal of skin lesions1077
Skin biopsy145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oliver Street 5.01(a) Inc. Dermatology CurrentSince Dec 1, 2017 Accepting new patients
Michael Braden, MD, PA Dermatology CurrentSince Apr 1, 2002 Accepting new patients

Locations

641 High St
Comfort, TX 78013
Phone (830) 997-0854

95 E Highway St
Fredericksburg, TX 78624
Phone (830) 997-0898

711 Hill Country Dr
Kerrville, TX 78028
Phone (830) 895-4466

1367 Dominion Plz
Tyler, TX 75703
Phone (903) 534-6200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1043247455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 HIGH STREET",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "78013",
            "telephone_number": "830-997-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 HIGH STREET",
            "city": "COMFORT",
            "state": "TX",
            "postal_code": "78013",
            "telephone_number": "830-997-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "MICHAEL",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "H0203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099111903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Comfort, TX

Sources for this page

Verify at the official NPI Registry.