Individual provider Active NPI

Brad Joseph Dobson, O.D.

  • Optometrist
  • Bee Cave, TX
National Provider Identifier
1144332644
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6393TG Issued in TX
Practice address
12400 W Highway 71 Ste 310
Bee Cave, TX 78738-6504
Phone
(512) 804-2020
Fax
(512) 402-1909
NPI assigned
Aug 31, 2006
Last updated
Dec 18, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6393TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6393TG TX
Pediatric Optometrist 152WP0200X 6393TG TX

Addresses

Primary practice location

12400 W Highway 71 Ste 310
Bee Cave, TX 78738-6504

Mailing address

12400 W Highway 71 Ste 310
Bee Cave, TX 78738-6504
Phone (512) 804-2020

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040308000570 TX Practitioner - Optometry 8325936784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

12400 W Hwy 71
Suite 310
Bee Cave, TX 78738-6504
Phone (512) 804-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6393TGTXMDPediatric Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bee Cave Vision Center P a Optometrist CurrentSince Sep 22, 2006 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Oct 1, 2021 Accepting new patients
McCormick Vision PC Optometrist PastSince Feb 6, 2017 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3908 Far West Blvd
Austin, TX 78731
Phone (512) 343-0432

12400 W Highway 71
Ste 310
Bee Cave, TX 78738
Phone (512) 804-2020

750 W Highway 290
Dripping Springs, TX 78620
Phone (512) 804-2020

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

Organizations & group practices 5

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1144332644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 W HIGHWAY 71 STE 310",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386504",
            "telephone_number": "512-804-2020",
            "fax_number": "512-402-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 W HIGHWAY 71 STE 310",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386504",
            "telephone_number": "512-804-2020",
            "fax_number": "512-402-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBSON",
        "first_name": "BRAD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6393TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6393TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "6393TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bee Cave, TX

Sources for this page

Verify at the official NPI Registry.