Active NPI
Bradley Scott Eisemann, MD
- Plastic Surgery Physician
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- BP10043205
- Practice address
- 6354 Vanderbilt St
Houston, TX 77005-3416 - Phone
- (713) 858-5010
- NPI assigned
- May 7, 2012
- Last updated
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | BP10043205 | TX | Primary |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | R4216 | TX |
Addresses
Primary practice location
6354 Vanderbilt St
Houston, TX 77005-3416
Mailing address
6354 Vanderbilt St
Houston, TX 77005-3416
Phone (713) 858-5010
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
- Plastic and Reconstructive Surgery
- Education
- University of Texas Medical School at Houston, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6550 Fannin St
Suite 2119
Houston, TX 77030-2721
Phone (713) 790-1771
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 14 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10043205 | TX | MD | Plastic Surgery Physician |
| R4216 | TX | MD | Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael L. Eisemann, M.D.,P.a.,F.a.C.S. | Current | Accepting new patients | |
| Fannin Day Surgery Center, LLC | Past | Accepting new patients |
Locations
6550 Fannin St
Ste 2119
Houston, TX 77030
Phone (713) 790-1771
Interoperability endpoints
- beisemann237037@directhoustonmethodist.org
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.
-
- Specialist
- Houston, TX
- NPI 1659600336
-
- Ambulatory Surgical Clinic/Center
- Houston, TX
- NPI 1174660906
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Houston Methodist Hospital
- General Acute Care Hospital
- Houston, TX
- NPI 1548387418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644192000000",
"number": "1376802769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6354 VANDERBILT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770053416",
"telephone_number": "713-858-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6354 VANDERBILT ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770053416",
"telephone_number": "713-858-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EISEMANN",
"first_name": "BRADLEY",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "TX",
"license": "BP10043205",
"primary": true
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "R4216",
"primary": false
}
],
"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 Feb 7, 2022; 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.