Individual provider Active NPI

Brittany Rochelle Potter, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Cedar Hill, TX
National Provider Identifier
1164679429
Registry record updated Dec 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
N4677 Issued in TX
Practice address
716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117
Phone
(972) 291-9165
Fax
(469) 575-9975
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N4677 TX
Sports Medicine (Family Medicine) Physician 207QS0010X N4677 TX Primary

Addresses

Primary practice location

716 N Highway 67 Ste 2
Cedar Hill, TX 75104-2117

Mailing address

PO Box 222093
Dallas, TX 75222-2093
Phone (972) 291-9165

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
I20111102000288 TX Practitioner - Family PracticePractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 2567635865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Interventional Pain Management, Sports Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedar Hill Pain and Rehab, PAGroup PAC ID 1052402989, 7 clinicians

Practice addresses (Care Compare)

716 N Hwy 67
Suite 2
Cedar Hill, TX 75104-2117
Phone (972) 291-9165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Expressions Pain and Rehab, P.a. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1164679429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222093",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752222093",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 N HIGHWAY 67 STE 2",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751042117",
            "telephone_number": "972-291-9165",
            "fax_number": "469-575-9975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "BRITTANY",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N4677",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.