Active NPI
Brandon J Sumner, D.O.
- Surgery Physician
- Denison, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R-09531
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.84 of 100
- Quality
- 57.18
- Promoting interoperability
- 86
- Improvement activities
- 40
- Cost
- 70.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-09531 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texomacare Specialty Physicians | Surgery | Current | 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
- brandon.sumner@tcsp.eclinicaldirectplus.com
- 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.
-
- Family Medicine Physician
- Denison, TX
- NPI 1740233592
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Denison, TX
- NPI 1851390967
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.