Individual provider Active NPI

Brent Michael Egeland, M.D.

  • Surgery of the Hand (Plastic Surgery) Physician
  • Austin, TX
National Provider Identifier
1053433375
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
P3315 Issued in TX
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ENROLLEDMedicaidIA
ENROLLEDMedicaidMN
P01021688OtherMNRAIL ROAD - MEDICARE
ENROLLEDMedicaidWI

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
I20120910000183 TX Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 2264600691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
University of Michigan Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seton Family of DoctorsGroup PAC ID 0941333280, 785 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105445MNMDOccupational Therapist
4301081432MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Feb 18, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Dell Children's Medical Group CurrentSince Feb 18, 2014 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Aesthetic and Reconstructive Therapeutics PLLC CurrentSince Jul 7, 2018 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.