NPIMap

Individual provider Active NPI

Brandon C Burrage, F.N.P.-C.

  • Family Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1285934646
Registry record updated Nov 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
729559 Issued in TX
Practice address
3150 Appaloosa Cir
San Angelo, TX 76901-5225
Phone
(325) 227-8309
Fax
(325) 227-8313
NPI assigned
Nov 1, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dora Roberts Rehabilitation Center 114 clinicians
Shannon Clinic 550 clinicians
The West Texas Rehabilitation Center 444 clinicians

Practice addresses (Care Compare)

306 W 3Rd St
Big Spring, TX 79720-2429
Phone (432) 267-3806

3150 Appaloosa Cir
San Angelo, TX 76901-5225
Phone (325) 747-2292

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310

Merit-based Incentive Payment System (MIPS)

Final score
82.63 of 100Reported as group
Quality
78.21
Promoting interoperability
96
Improvement activities
40
Cost
67.22

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121005000656 TX Practitioner - Nurse Practitioner 4789833732 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince May 15, 2020 Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Dec 23, 2017 Accepting new patients
Shannon Clinic CurrentSince May 15, 2020 Accepting new patients
Regional Employee Assistance Program Inc Current Accepting new patients
Regional Employee Assistance Program Inc CurrentSince Dec 23, 2017 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients

Locations

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

3535 Knickerbocker Rd
San Angelo, TX 76904
Phone (915) 947-6495

4450 Sunset Dr
San Angelo, TX 76901
Phone (325) 481-2286

3150 Appaloosa Cir
San Angelo, TX 76901
Phone (325) 227-8309

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 729559 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

3150 Appaloosa Cir
San Angelo, TX 76901-5225

Mailing address

3150 Appaloosa Cir
San Angelo, TX 76901-5225
Phone (325) 227-8309

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 1, 2010.

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288569600000",
    "number": "1285934646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 APPALOOSA CIR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015225",
            "telephone_number": "325-227-8309",
            "fax_number": "325-227-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 APPALOOSA CIR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769015225",
            "telephone_number": "325-227-8309",
            "fax_number": "325-227-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRAGE",
        "first_name": "BRANDON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "F.N.P.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-01",
        "last_updated": "2010-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "729559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.