Individual provider Active NPI

Randall Walter Brauchle, M.D.

  • Otolaryngology Physician
  • Houston, TX
National Provider Identifier
1124005350
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
L0047 Issued in TX
Practice address
10740 N Gessner Rd
Ste 310
Houston, TX 77064-1240
Phone
(281) 897-0416
Fax
(281) 890-8908
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X L0047 TX
Sleep Medicine (Otolaryngology) Physician 207YS0012X L0047 TX
Facial Plastic Surgery Physician 207YS0123X L0047 TX
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X L0047 TX
Otolaryngic Allergy Physician 207YX0602X L0047 TX
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X L0047 TX
Otolaryngology Physician 207Y00000X L0047 TX Primary

Addresses

Primary practice location

10740 N Gessner Rd
Ste 310
Houston, TX 77064-1240

Mailing address

2500 Tanglewilde
Suite 160
Houston, TX 77063-2123
Phone (713) 781-9660

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
I20100618000180 TX Practitioner - OtolaryngologyPractitioner - Allergy/Immunology 4385774371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Allergy/Immunology
Education
University of Texas Medical Branch at Galveston, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Ear, Nose and Throat Specialists, PLLCGroup PAC ID 5799770202, 123 clinicians

Practice addresses (Care Compare)

18400 Katy Fwy
Suite 470
Houston, TX 77094-1287
Phone (281) 492-7827

Hospital & facility affiliations

  • Houston Methodist West Hospital Hospital, Houston, TX, CCN 670077
  • Houston Methodist Hospital Hospital, Houston, TX, CCN 450358
  • Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L0047TXMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Ear, Nose & Throat Specialists, PLLC Otolaryngology CurrentSince Jan 1, 2017 Accepting new patients

Locations

18400 Katy Fwy
Ste 470
Houston, TX 77094
Phone (281) 492-7827

2500 Tanglewilde St
Ste 160
Houston, TX 77063
Phone (713) 781-9660

10740 N Gessner Rd
Ste 310
Houston, TX 77064
Phone (281) 897-0416

7900 Fannin St
#1900
Houston, TX 77054
Phone (713) 791-9363

8731 Katy Fwy
Ste 200
Houston, TX 77024
Phone (713) 467-5787

9301 Pinecroft Dr
Ste 150
Shenandoah, TX 77380
Phone (281) 362-1368

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1124005350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 TANGLEWILDE",
            "address_2": "SUITE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632123",
            "telephone_number": "713-781-9660",
            "fax_number": "713-974-3672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 N GESSNER RD",
            "address_2": "STE 310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641240",
            "telephone_number": "281-897-0416",
            "fax_number": "281-890-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUCHLE",
        "first_name": "RANDALL",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "TX",
            "license": "L0047",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "L0047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.