Individual provider Active NPI

Braxton Fritz, MD

  • Family Medicine Physician
  • Helotes, TX
National Provider Identifier
1215340781
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
U8632 Issued in TX
Practice address
11820 Bandera Rd Ste 102
Helotes, TX 78023-4637
Phone
(210) 477-7180
Fax
(210) 736-7072
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01081892A IN
Family Medicine Physician 207Q00000X 36970 SC
Family Medicine Physician 207Q00000X U8632 TX Primary

Addresses

Primary practice location

11820 Bandera Rd Ste 102
Helotes, TX 78023-4637

Mailing address

2961 Mossrock
San Antonio, TX 78230-5119
Phone (210) 731-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN, WY, TX4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170824003023 WI Practitioner - Family Practice 2567775216 Reassigns benefits to 1 organization
I20200716000276 IN Practitioner - Family Practice 2567775216 Reassigns benefits to 2 organizations
I20230719002155 WY Practitioner - Family Practice 2567775216 Reassigns benefits to 1 organization
I20240426000051 TX Practitioner - Family Practice 2567775216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Primecare, IncGroup PAC ID 8628073236, 70 clinicians

Practice addresses (Care Compare)

11820 Bandera Rd
Suite 102
Helotes, TX 78023-4637
Phone (210) 477-7180

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc Current Accepting new patients
Campbell County Hospital District Current Accepting new patients
Black River Health Inc CurrentSince Aug 2, 2017 Accepting new patients
Campbell County Hospital District CurrentSince Aug 7, 2023 Accepting new patients
Campbell County Hospital District Family Medicine CurrentSince Aug 7, 2023 Accepting new patients
Physician Primecare, Inc Family Medicine CurrentSince Jul 22, 2024 Accepting new patients
Nwi Urgent Care, LLC Family Medicine CurrentSince Jul 1, 2020 Accepting new patients
Black River Health Inc CurrentSince Aug 2, 2017 Accepting new patients
The Methodist Hospitals, Inc PastSince Jul 1, 2020 Accepting new patients
Self Regional Healthcare Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

5521 W US Highway 30
Ste 1A
Crown Point, IN 46307
Phone (219) 769-1362

31 Sibley St
Ste A
Hammond, IN 46320
Phone (219) 802-8800

5043 E Lincoln Hwy
Merrillville, IN 46410
Phone (219) 554-3290

8135 Calumet Ave
Munster, IN 46321
Phone (219) 513-2000

11820 Bandera Rd
Ste 102
Helotes, TX 78023
Phone (210) 477-7180

2911 S New Braunfels Ave
San Antonio, TX 78210
Phone (210) 377-1133

911 Castroville Rd
San Antonio, TX 78237
Phone (210) 436-7402

2961 Mossrock
San Antonio, TX 78230
Phone (210) 731-4800

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-1302

501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: braxtonfritz@brmh.cernerdirect.com

Organizations & group practices 12

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1215340781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 MOSSROCK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305119",
            "telephone_number": "210-731-4800",
            "fax_number": "210-731-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 BANDERA RD STE 102",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234637",
            "telephone_number": "210-477-7180",
            "fax_number": "210-736-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "BRAXTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081892A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "36970",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "U8632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.