Individual provider Active NPI

Brandon Lee Christianson, M.D.

  • Otolaryngology Physician
  • Fort Worth, TX
National Provider Identifier
1043538564
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q2754 Issued in TX
Practice address
4601 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone
(817) 431-7985
Fax
(817) 431-5031
NPI assigned
May 7, 2010
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X Q2754 TX Primary

Addresses

Primary practice location

4601 Heritage Trace Pkwy
Fort Worth, TX 76244

Mailing address

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone (817) 431-7985

Other practice location 1

1680 FM 407
Suite #120
Northlake, TX 76247-6201
Phone (817) 431-7985

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
I20150423000122 TX Practitioner - Otolaryngology 7719205749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at Houston, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas ENT Center PLLCGroup PAC ID 8224222005, 6 clinicians

Practice addresses (Care Compare)

4601 Heritage Trace Pkwy
Fort Worth, TX 76244-8905
Phone 8174317985101

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas ENT Center, PLLC Otolaryngology CurrentSince Apr 1, 2015 Accepting new patients

Locations

4601 Heritage Trace Pkwy
Fort Worth, TX 76244
Phone (817) 431-7985

Organizations & group practices 1

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1043538564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762448905",
            "telephone_number": "817-431-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 HERITAGE TRACE PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-5031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680 FM 407",
            "address_2": "Suite #120",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "TX",
            "postal_code": "762476201",
            "country_code": "US",
            "telephone_number": "817-431-7985",
            "fax_number": "817-431-7985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q2754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.