Active NPI
Scott Cameron Braddock, PA-C
- Physician Assistant
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1149688
- Practice address
- 6701 Fannin St
Houston, TX 77030 - Phone
- (832) 824-1000
- NPI assigned
- Dec 21, 2017
- Last updated
- Jun 6, 2018
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1149688 | TX | Primary |
Addresses
Primary practice location
6701 Fannin St
Houston, TX 77030
Mailing address
2 Greenway PLZ Ste 300
Houston, TX 77046-0207
Phone (832) 828-3660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12500 S Fwy
Suite 100
Burleson, TX 76028-7128
Phone (214) 294-6250
1500 S Main St
1St FL Outpatient
Ft. Worth, TX 76104-4917
Phone (817) 702-3431
1575 S Main St
JPS Emergency
Fort Worth, TX 76104-4901
Phone (817) 702-8828
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 494-2200
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 92.56
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5758 | OK | MD | Physical Therapist |
| 1149688 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| St Joseph Emergency Physicians PLLC | Current | Accepting new patients | |
| Ies ER Oklahoma LLC | Current | Accepting new patients | |
| Century Integrated Partners, Inc | Current | Accepting new patients |
Locations
300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200
12500 South Fwy
Ste 100
Burleson, TX 76028
Phone (214) 294-6250
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
2 Greenway Plz
Ste 300
Houston, TX 77046
Phone (832) 828-3603
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1447615711
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1447148093
-
- Emergency Medicine Physician
- Fort Worth, TX
- NPI 1285922542
-
dba HCHD Community Medicine
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Critical Care Medicine (Internal Medicine) Physician
- Houston, TX
- NPI 1851783534
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1326324047
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Emergency Medicine Physician
- Houston, TX
- NPI 1437407467
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba JPS Health Network
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1992753222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528243200000",
"number": "1326554619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 GREENWAY PLZ STE 300",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770460207",
"telephone_number": "832-828-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6701 FANNIN ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "832-824-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADDOCK",
"first_name": "SCOTT",
"middle_name": "CAMERON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-21",
"last_updated": "2018-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "1149688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.