Individual provider Active NPI

David M Dranetz, MD

  • Psychiatry Physician
  • College Station, TX
National Provider Identifier
1225088321
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
K5906 Issued in TX
Practice address
3322 Longmire Dr Ste 100
College Station, TX 77845-6088
Phone
(979) 200-2043
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 223316 MA
Psychiatry Physician 2084P0800X K5906 TX Primary

Addresses

Primary practice location

3322 Longmire Dr Ste 100
College Station, TX 77845-6088

Mailing address

2900 E 29TH St
Suite 101
Bryan, TX 77802-2622
Phone (979) 774-8200

Other identifiers 2

IdentifierTypeStateIssuer
8CF171OtherTXBLUE CROSS BLUE SHIELD
103785505MedicaidTX

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
I20100202000612 TX Practitioner - PsychiatryPractitioner - Addiction Medicine 4082665534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Tufts University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3322 Longmire Dr
Suite 100
College Station, TX 77845-6088
Phone (979) 200-2043

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
David M. Dranetz, M.D., P.L.L.C. Psychiatry CurrentSince Apr 1, 2017 Accepting new patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince May 5, 2021 Accepting new patients
Family Practice Foundation of the Brazos Valley Past Accepting new patients
Cape Cod Healthcare Inc. Past Accepting new patients

Locations

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

3515 Longmire Dr
Ste B
College Station, TX 77845

3322 Longmire Dr
Ste 100
College Station, TX 77845
Phone (979) 200-2043

2710 Sunset Strip
Ste C
Greenville, TX 75402
Phone (844) 291-4525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1225088321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "address_2": "SUITE 101",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "979-774-8200",
            "fax_number": "979-776-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 LONGMIRE DR STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456088",
            "telephone_number": "979-200-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRANETZ",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "223316",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K5906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8CF171",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103785505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.