Active NPI
Katherine Marie Brandt, MD
- Neonatal-Perinatal Medicine Physician
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- N6170
- Practice address
- 5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561 - Phone
- (210) 541-8281
- Fax
- (210) 541-9123
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL-1188 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10029584 | TX | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | N6170 | TX | Primary |
Addresses
Primary practice location
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Mailing address
5430 Fredericksburg Rd Ste 508
San Antonio, TX 78229-3561
Phone (210) 541-8281
Other practice location 1
5414 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3646
Phone (210) 541-8281 ext. 221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2134926-01 | Medicaid | TX |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL-1188 | CO | MD | Student in an Organized Health Care Education/Training Program |
| BP10029584 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magella Medical Associates Billing, Inc. | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients | |
| Christus Santa Rosa Health Care Corporation | Past | Accepting new patients |
Locations
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
3001 George Bush Hwy
Ste 250
Richardson, TX 75082
Phone (888) 822-2855
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
11212 State Highway 151
Ste 12
San Antonio, TX 78251
520 Madison Oak Dr
San Antonio, TX 78258
Phone (210) 297-0412
5430 Fredericksburg Rd
Ste 508
San Antonio, TX 78229
Phone (210) 541-8281
5414 Fredericksburg Rd
Ste 100
San Antonio, TX 78229
Phone (210) 541-8281
1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200
11212 State Highway 151
San Antonio, TX 78251
Phone (210) 281-5066
1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000
5106 W Loop 1604 N
San Antonio, TX 78251
Phone (210) 575-0355
3011 W Loop 1604 N
San Antonio, TX 78251
Phone (726) 266-7081
7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000
3333 Research Plz
San Antonio, TX 78235
Phone (210) 297-3000
Organizations & group practices 3
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.
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-
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- San Antonio, TX
- NPI 1821004151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1124174719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293561",
"telephone_number": "210-541-8281",
"fax_number": "210-541-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5430 FREDERICKSBURG RD STE 508",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293561",
"telephone_number": "210-541-8281",
"fax_number": "210-541-9123"
}
],
"practiceLocations": [
{
"address_1": "5414 Fredericksburg Rd Ste 100",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782293646",
"country_code": "US",
"telephone_number": "210-541-8281 x221",
"fax_number": "210-541-9123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL-1188",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10029584",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "TX",
"license": "N6170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2134926-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.