Individual provider Active NPI

Phillip Brandon Brunson, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1265435507
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6432T Issued in TX
Practice address
5115 Main St
Houston, TX 77002-9749
Phone
(281) 446-7900
Fax
(281) 446-4879
NPI assigned
May 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6432T TX Primary

Addresses

Primary practice location

5115 Main St
Houston, TX 77002-9749

Mailing address

18850 S Memorial Dr
Humble, TX 77338-4288
Phone (281) 446-7900

Other identifiers 1

IdentifierTypeStateIssuer
160741501MedicaidTX

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000318 TX Practitioner - Optometry 7517081730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

5115 Main St
Houston, TX 77002-9754
Phone (713) 580-2550

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6432TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center, PA Optometrist CurrentSince Aug 1, 2003 Accepting new patients
Mann Eye Center Optometrist CurrentSince Aug 1, 2003 Accepting new patients
Mann Eye Center, PA Past Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

5115 Fannin St
Fl 10
Houston, TX 77004

5115 Fannin St
Ste 1000
Houston, TX 77004
Phone (713) 275-2457

5115 Main St
Houston, TX 77002
Phone (713) 275-2457

18850 S Memorial Dr
Humble, TX 77338
Phone (281) 446-7900

Interoperability endpoints

  • Direct secure messaging: pbrunson@manneye.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1265435507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "281-446-7900",
            "fax_number": "281-446-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770029749",
            "telephone_number": "281-446-7900",
            "fax_number": "281-446-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSON",
        "first_name": "PHILLIP",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6432T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160741501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.