Individual provider Active NPI

Brian Ceballos, MD

  • Urology Physician
  • Pensacola, FL
National Provider Identifier
1376178277
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME180109 Issued in FL
Practice address
4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339
Phone
(850) 201-2421
Fax
(850) 886-2235
NPI assigned
Mar 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X V5990 TX
Urology Physician 208800000X ME180109 FL Primary

Addresses

Primary practice location

4724 N Davis Hwy Ste 100
Pensacola, FL 32503-2339

Mailing address

PO Box 102222
Atlanta, GA 30368-2222
Phone (239) 274-8200

Other practice location 1

161 E Nine Mile Rd Ste 100
Pensacola, FL 32534-3140
Phone (850) 201-2422

Other practice location 2

1549 Airport Blvd Ste 440
Pensacola, FL 32504-8634
Phone (850) 201-2418

Other identifiers 1

IdentifierTypeStateIssuer
130820800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250812004318 TX Practitioner - Urology 7315445996 Reassigns benefits to 1 organization
I20260324000393 FL Practitioner - Urology 7315445996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Clinics of North Texas, PLLCGroup PAC ID 5496736415, 72 clinicians

Practice addresses (Care Compare)

5220 W University Dr
Suite 210
McKinney, TX 75071-7429
Phone (214) 691-1902

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082
  • Baylor Scott and White Medical Center Frisco at PG Hospital, Frisco, TX, CCN 670346
  • Texas Health Center for Diagnostics & Surgery Plan Hospital, Plano, TX, CCN 450891
  • Baylor Scott & White Medical Center - Centennial Hospital, Frisco, TX, CCN 450885
  • Texas Health Presbyterian Hospital Allen Hospital, Allen, TX, CCN 450840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME180109FLMDUrology Physician
V5990TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Clinics of North Texas, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Urology Clinics of North Texas, PLLC Urology CurrentSince Jul 1, 2025 Accepting new patients
Urology Clinics of North Texas, PLLC Urology Current Accepting new patients
Urology Clinics of North Texas PLLC Past Accepting new patients

Locations

9900 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 580-2265

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

16050 Everwell Ln
Ste 400
Frisco, TX 75033
Phone (972) 817-4200

5220 W University Dr
Ste 210
McKinney, TX 75071
Phone (469) 678-8370

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

Interoperability endpoints

  • Direct secure messaging: brian.ceballosmd.p1@direct.urologyclinics.nextgenshare.com

Organizations & group practices 5

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 6

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": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1376178277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102222",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682222",
            "telephone_number": "239-274-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 N DAVIS HWY STE 100",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032339",
            "telephone_number": "850-201-2421",
            "fax_number": "850-886-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 E Nine Mile Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325343140",
            "country_code": "US",
            "telephone_number": "850-201-2422",
            "fax_number": "850-886-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1549 Airport Blvd Ste 440",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325048634",
            "country_code": "US",
            "telephone_number": "850-201-2418",
            "fax_number": "850-886-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEBALLOS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "V5990",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME180109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130820800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.