Individual provider Active NPI

Brandon J Sumner, D.O.

  • Surgery Physician
  • Denison, TX
National Provider Identifier
1295098499
Registry record updated Nov 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
R-09531 Issued in IA
Practice address
5012 S US Highway 75 Ste 105
Denison, TX 75020-4611
Phone
(903) 416-6490
Fax
(903) 463-1201
NPI assigned
Jun 21, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X R-09531 IA Primary

Addresses

Primary practice location

5012 S US Highway 75 Ste 105
Denison, TX 75020-4611

Mailing address

5012 S US Highway 75 Ste 300
Att. Billing
Denison, TX 75020-4589
Phone (903) 416-6490

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 643-2261

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
I20170801001096 TX Practitioner - General Surgery 6406007749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texomacare Specialty PhysiciansGroup PAC ID 4880858364, 37 clinicians

Practice addresses (Care Compare)

5012 S US Hwy 75
Suite 100
Denison, TX 75020-4597
Phone (903) 416-6325

5012 S US Hwy 75
Suite 275
Denison, TX 75020-4632
Phone (903) 416-6550

5016 S US Hwy 75
Denison, TX 75020-4584
Phone (903) 416-4030

Hospital & facility affiliations

  • Texoma Medical Center Hospital, Denison, TX, CCN 450324

Merit-based Incentive Payment System (MIPS)

Final score
76.84 of 100Reported as group
Quality
57.18
Promoting interoperability
86
Improvement activities
40
Cost
70.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)11
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-09531IAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texomacare Specialty Physicians Surgery CurrentSince Aug 1, 2017 Accepting new patients
Texomacare Past Accepting new patients
Uhs of Texoma, Inc Past Accepting new patients

Locations

5012 S US Highway 75
Ste 210
Denison, TX 75020
Phone (903) 416-6260

5012 US Highway 75
Ste 300
Denison, TX 75020
Phone (903) 416-6025

5012 US Highway 75
Ste 105
Denison, TX 75020
Phone (903) 416-6490

5016 US Highway 75
Denison, TX 75020
Phone (855) 222-9637

5012 S US Highway 75
Ste 275
Denison, TX 75020
Phone (903) 416-6325

5012 US Highway 75
Denison, TX 75020
Phone (903) 416-1726

Interoperability endpoints

  • Direct secure messaging: brandon.sumner@tcsp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDAGBA

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1295098499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 300",
            "address_2": "ATT. BILLING",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204589",
            "telephone_number": "903-416-6490",
            "fax_number": "903-463-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 S US HIGHWAY 75 STE 105",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750204611",
            "telephone_number": "903-416-6490",
            "fax_number": "903-463-1201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-643-2261",
            "fax_number": "515-643-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R-09531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

Verify at the official NPI Registry.