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
Last updated
Nov 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2010

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

Specialties & licenses 1

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

Addresses

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

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: No
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

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 CenterGroup PAC ID 0941285498, 114 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 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

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
729559TXMDFamily Nurse Practitioner

Practice roles

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

Locations

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

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

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

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

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

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

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "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.