Individual provider Active NPI

Brandon Childers, M.D.

  • Vascular & Interventional Radiology Physician
  • San Antonio, TX
National Provider Identifier
1366701567
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
R6366 Issued in TX
Practice address
8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone
(210) 616-7790
NPI assigned
May 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X R6366 TX Primary
Diagnostic Radiology Physician 2085R0202X BP10042836 TX

Addresses

Primary practice location

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229

Mailing address

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229-5907

Other practice location 1

601 E 15th St
Cec C2.443
Austin, TX 78701-1930
Phone (512) 324-7997

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
I20180621002224 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1052552486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Radiology Imaging CentersGroup PAC ID 0547153512, 75 clinicians
South Texas Radiology Group PAGroup PAC ID 2567365083, 84 clinicians

Practice addresses (Care Compare)

4410 Medical Dr
Suite 200
San Antonio, TX 78229-3744
Phone (210) 575-6750

7700 Floyd Curl Dr
San Antonio, TX 78229-3902
Phone (210) 575-4343

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
83.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.09 of 100Reported as group
Quality
91.83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10042836TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Radiology Group PA Diagnostic Radiology CurrentSince Jul 30, 2018 Accepting new patients
South Texas Radiology Imaging Centers Diagnostic Radiology CurrentSince Jul 30, 2018 Accepting new patients

Locations

134 Menger Spgs
Ste 1110
Boerne, TX 78006
Phone (830) 816-9500

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

12412 Judson Rd
Live Oak, TX 78233
Phone (210) 646-5000

12602 Toepperwein Rd
Ste 101
Live Oak, TX 78233
Phone (201) 564-1560

12709 Toepperwein Rd
Ste 106
Live Oak, TX 78233
Phone (210) 617-9700

11923 Culebra Rd
Ste 201
San Antonio, TX 78253
Phone (210) 617-9660

5510 Presidio Pkwy
Ste 2201B
San Antonio, TX 78249

8401 Datapoint Dr
Ste 600
San Antonio, TX 78229
Phone (210) 616-7796

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

7910 Barlite Blvd
San Antonio, TX 78224
Phone (210) 617-9940

7950 Floyd Curl Dr
Ste 200
San Antonio, TX 78229
Phone (210) 617-9800

1888 Nacogdoches Rd
San Antonio, TX 78209
Phone (210) 617-9920

4458 Medical Dr
Ste 345
San Antonio, TX 78229
Phone (210) 617-9220

1200 Brooklyn Ave
Ste 100
San Antonio, TX 78212
Phone (210) 208-2500

4383 Medical Dr
Ste 150
San Antonio, TX 78229

18707 Hardy Oak Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-6520

4410 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-6692

5715 Rogers Rd
Ste 101
San Antonio, TX 78251
Phone (210) 617-9650

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

155 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 617-9500

9150 Huebner Rd
Ste 195
San Antonio, TX 78240
Phone (210) 617-9100

5000 Schertz Pkwy
Ste 500
Schertz, TX 78154
Phone (210) 617-9770

Organizations & group practices 2

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 7

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": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1366701567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR",
            "address_2": "STE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-616-7790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 E 15th St",
            "address_2": "CEC C2.443",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011930",
            "country_code": "US",
            "telephone_number": "512-324-7997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "BRANDON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-08",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "R6366",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "BP10042836",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.