Active NPI
Brandon Roane, MD
- Gynecologic Oncology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- T3175
- Practice address
- 221 W. Colorado Blvd., Pav. II, Ste. 532
Dallas, TX 75208-2363 - Phone
- (214) 943-9911
- Fax
- (214) 946-8339
- NPI assigned
- Apr 20, 2014
- Last updated
- Nov 9, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 37073 | AL | |
| Gynecologic Oncology Physician | 207VX0201X | T3175 | TX | Primary |
Addresses
Primary practice location
221 W. Colorado Blvd., Pav. II, Ste. 532
Dallas, TX 75208-2363
Mailing address
PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 428271703 | Medicaid | TX | |
| 428271702 | 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
Care Compare profile
Medicare Care Compare- Specialty
- Gynecological Oncology
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
122 W Colorado Blvd
Dallas, TX 75208-2382
Phone (214) 947-6700
221 W Colorado Blvd
Suite 532
Dallas, TX 75208-2318
Phone (214) 943-8605
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Physician Associates of Southwest Dallas | Obstetrics & Gynecology | Current | Accepting new patients |
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
| Texas Oncology PA | Gynecologic Oncology | Current | Accepting new patients |
Locations
4201 Brown Trl
Ste 101
Colleyville, TX 76034
Phone (682) 217-2102
122 W Colorado Blvd
Dallas, TX 75208
Phone (214) 947-6555
221 W Colorado Blvd
Ste 532
Dallas, TX 75208
Phone (214) 943-8605
7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
Interoperability endpoints
- brandon.roane.1@18833.direct.athenahealth.com
- brandon.roane@txo.ikm.direct-ci.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1801845425
Obstetrics & Gynecology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Methodist Charlton Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1275592131
-
dba Methodist Dallas Medical Center
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1205256047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 911230",
"city": "DALLAS",
"state": "TX",
"postal_code": "753911230",
"telephone_number": "972-997-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 W. COLORADO BLVD., PAV. II, STE. 532",
"city": "DALLAS",
"state": "TX",
"postal_code": "752082363",
"telephone_number": "214-943-9911",
"fax_number": "214-946-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROANE",
"first_name": "BRANDON",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-20",
"last_updated": "2022-11-09",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AL",
"license": "37073",
"primary": false
},
{
"code": "207VX0201X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "TX",
"license": "T3175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428271703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "428271702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.