Individual provider Active NPI

Brian Robert Braaksma, MD

  • Orthopaedic Surgery of the Spine Physician
  • Fort Worth, TX
National Provider Identifier
1144476995
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
S9661 Issued in TX
Practice address
3025 N Tarrant Pkwy Ste 220
Ft Worth, TX 76177-8629
Phone
(817) 898-6688
Fax
(817) 562-8313
NPI assigned
Aug 12, 2008
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X S9661 TX Primary

Addresses

Primary practice location

3025 N Tarrant Pkwy Ste 220
Ft Worth, TX 76177-8629

Mailing address

6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Phone (972) 608-5000

Other identifiers 1

IdentifierTypeStateIssuer
S9661OtherTXTMB

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
I20210907000753 TX Practitioner - Orthopedic Surgery 5799932125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

3124 E Broad St
Suite 321
Mansfield, TX 76063-6426
Phone (682) 518-1215

4510 Medical Ctr Dr
Suite 301
McKinney, TX 75069-1603
Phone (972) 498-4389

6020 W Parker Rd
Suite 200
Plano, TX 75093-8172
Phone (972) 608-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion140
Laminectomy or laminotomy (partial removal of spine bones)49
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S9661TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Neurosurgeons, PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3025 N Tarrant Pkwy
Ste 220
Ft Worth, TX 76177
Phone (817) 349-4663

3124 E Broad St Ste 321
Mansfield, TX 76063

6020 W Parker Rd
Ste 200
Plano, TX 75093
Phone (972) 403-2700

Interoperability endpoints

  • Direct secure messaging: bbraaksma1818065@direct.texashealth.org
  • Direct secure messaging: bbraaksma288502@direct.myadvocateaurora.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1144476995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938172",
            "telephone_number": "972-608-5000",
            "fax_number": "972-608-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 N TARRANT PKWY STE 220",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761778629",
            "telephone_number": "817-898-6688",
            "fax_number": "817-562-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAKSMA",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "S9661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "S9661",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.