Active NPI
Brent Michael Egeland, M.D.
- Surgery of the Hand (Plastic Surgery) Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery of the Hand (Plastic Surgery) Physician
- License
- P3315
- Practice address
- 1400 N Ih 35 Ste 320
Austin, TX 78701-1926 - Phone
- (512) 324-8320
- Fax
- (512) 324-8326
- NPI assigned
- Apr 6, 2007
- Last updated
- Aug 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 4301081432 | MI | |
| Orthopaedic Surgery Physician | 207X00000X | 105445 | MN | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 105445 | MN | |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 54404 | MN | |
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | P3315 | TX | Primary |
Addresses
Primary practice location
1400 N Ih 35 Ste 320
Austin, TX 78701-1926
Mailing address
1400 N Ih 35 Ste 320
Austin, TX 78701-1926
Phone (512) 324-8320
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN | |
| P01021688 | Other | MN | RAIL ROAD - MEDICARE |
| ENROLLED | Medicaid | WI |
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
- Plastic and Reconstructive Surgery
- Education
- University of Michigan Medical School, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 N Ih 35
Austin, TX 78701-1926
1400 N Ih 35 LL
Cl400 Tri County Prac Assoc
Austin, TX 78701-1926
Phone (512) 324-7300
1500 Red River St
Austin, TX 78701-1918
Phone (512) 324-7000
1601 Trinity St
Stop 704
Austin, TX 78712-1865
Phone (512) 324-4373
6811 Austin Ctr Blvd
Austin, TX 78731-3157
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 12 |
| Removal of tissue | 15 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105445 | MN | MD | Occupational Therapist |
| 4301081432 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dell Children's Medical Group | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Dell Children's Medical Group | Current | Accepting new patients | |
| Seton Family of Doctors | Current | Accepting new patients | |
| Aesthetic and Reconstructive Therapeutics PLLC | Current | Accepting new patients | |
| Institute of Reconstructive Plastic Surgery of Central Texas | Past | Accepting new patients |
Locations
1101 W 34th St
Austin, TX 78705
Phone (512) 641-4020
1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800
1301 Barbara Jordan Blvd
Ste 307
Austin, TX 78723
Phone (512) 324-0907
1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300
1400 N Interstate 35
Ste 320
Austin, TX 78701
Phone (512) 324-7600
2905 San Gabriel St
Ste 100
Austin, TX 78705
Phone (512) 815-0123
3724 Executive Center Dr
Ste 115
Austin, TX 78731
Phone (512) 324-2765
6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000
301 Seton Pkwy
Ste 402
Round Rock, TX 78665
Phone (512) 324-4815
Interoperability endpoints
- brent.egeland.1@8363.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Austin, TX
- NPI 1588997233
-
dba Austin Plastic & Reconstructive Surgery
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1952786212
-
- Pediatrics Physician
- Austin, TX
- NPI 1326072943
-
dba Dell Children's Medical Group Sleep Center
- Sleep Disorder Diagnostic Clinic/Center
- Austin, TX
- NPI 1124748249
-
dba Ascension Texas Imaging
- Radiology Clinic/Center
- Austin, TX
- NPI 1275290694
-
dba Seton Institute of Reconstructive Plastic Surgery
- Plastic and Reconstructive Surgery Physician
- Austin, TX
- NPI 1548401417
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Dell Seton Medical Center at the University of Texas
- General Acute Care Hospital
- Austin, TX
- NPI 1093810327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344297600000",
"number": "1053433375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N IH 35 STE 320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011926",
"telephone_number": "512-324-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N IH 35 STE 320",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011926",
"telephone_number": "512-324-8320",
"fax_number": "512-324-8326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGELAND",
"first_name": "BRENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2012-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "4301081432",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MN",
"license": "105445",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MN",
"license": "105445",
"primary": false
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "MN",
"license": "54404",
"primary": false
},
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "TX",
"license": "P3315",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD - MEDICARE",
"identifier": "P01021688",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.