Individual provider Active NPI

Brian John Risinger, MD

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1053376780
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J2978 Issued in TX
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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 J2978 TX Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other practice location 1

1321 East Franklin
Hillsboro, TX 76645
Phone (254) 582-8815

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
I20040302001265 TX Practitioner - Diagnostic Radiology 2961399183 Reassigns benefits to 3 organizations
Practice locations: Hillsboro, TX

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1321 E Franklin St
Hillsboro, TX 76645-2621
Phone (254) 580-8500

Hospital & facility affiliations

  • Hill Regional Hospital Hospital, Hillsboro, TX, CCN 451395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J2978TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 1, 2022 Accepting new patients
Synergy Radiology Associates PLLC CurrentSince Oct 1, 2018 Accepting new patients
Synergy Radiology Associates PastSince Jun 11, 2023 Accepting new patients
Televyde, LLC Diagnostic Radiology Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients

Locations

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

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

7026 Old Katy Rd
Ste 276
Houston, TX 77024
Phone (713) 358-0562

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

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

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

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

Organizations & group practices 6

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 1

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624579200000",
    "number": "1053376780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 East Franklin",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "TX",
            "postal_code": "76645",
            "country_code": "US",
            "telephone_number": "254-582-8815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RISINGER",
        "first_name": "BRIAN",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J2978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.