Individual provider Active NPI

Brian M O'Donnell, M.D.

  • Family Medicine Physician
  • Harlingen, TX
National Provider Identifier
1104825678
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L2513 Issued in TX
Practice address
1713 Treasure Hills Blvd Ste 2D
Harlingen, TX 78550-8913
Phone
(956) 425-4982
Fax
(956) 421-4051
NPI assigned
Jul 18, 2005
Last updated
Aug 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L2513 TX Primary

Addresses

Primary practice location

1713 Treasure Hills Blvd Ste 2D
Harlingen, TX 78550-8913

Mailing address

1713 Treasure Hills Blvd Ste 2D
Harlingen, TX 78550-8913
Phone (956) 425-4982

Other identifiers 1

IdentifierTypeStateIssuer
150751901MedicaidTX

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
I20090707000185 TX Practitioner - Family Practice 9234121807 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
BHS Physicians Network, Inc Family Medicine CurrentSince May 8, 2017 Accepting new patients
BHS Physicians Network, Inc CurrentSince May 8, 2017 Accepting new patients

Locations

1713 Treasure Hills Blvd
Ste 2D
Harlingen, TX 78550
Phone (210) 425-4982

2101 Pease St
Harlingen, TX 78550
Phone (956) 369-1100

597 W Sesame Dr
Ste B
Harlingen, TX 78550
Phone (956) 423-3343

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1104825678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 TREASURE HILLS BLVD STE 2D",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508913",
            "telephone_number": "956-425-4982",
            "fax_number": "956-241-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 TREASURE HILLS BLVD STE 2D",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508913",
            "telephone_number": "956-425-4982",
            "fax_number": "956-421-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DONNELL",
        "first_name": "BRIAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2022-08-19",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150751901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.