David M. Dranetz, M.D., P.L.L.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K5906 Issued in TX

Legal business name

DAVID M. DRANETZ, M.D., P.L.L.C.

Practice address

3322 Longmire Dr Ste 100
College Station, TX 77845-6088

Phone

(979) 200-2043

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

David M. Dranetz, M.D.NPI 1225088321

Title

Owner

Phone

(508) 292-5366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David M Dranetz, MD

  • Psychiatry Physician
  • College Station, TX
  • NPI 1225088321
  Medicare reassignment NPD Authorized official
• Sophia Blossom, LPC

  • Professional Counselor
  • Bryan, TX
  • NPI 1255825519
  Medicare reassignment
• Shanna Lewis, MED, LPC, NCC

  • Psychologist
  • Missouri City, TX
  • NPI 1962015370
  NPD (past)

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1295263598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 LONGMIRE DRIVE",
            "address_2": "SUITE B BOX 178",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455489",
            "telephone_number": "508-292-5366",
            "fax_number": "866-459-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 LONGMIRE DR STE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456088",
            "telephone_number": "979-200-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. DRANETZ, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "DRANETZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-292-5366",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Darling III, PA-C
• Katherine Daugherty, SLP
• Floyd R Daughters, ATC, LAT
• Stephanie Ann Davenport, CRNA
• David M. Berzon, MD,PA
• David Meduna, M.D., P.a.
• Davidhizar Medical, PLLC (MyMDbcs)
• Alexandra Kaitlynn Davila, RD, LD
• Davis P Buras MD PA
• Carol Jean Davis-Rios, LCSW

• Psychiatry Physician in College Station, TX
• Providers in College Station, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.