NPIMap

Individual provider Active NPI

Daniel Michael Brudnak, MD

  • Family Medicine Physician
  • Gorman, TX
National Provider Identifier
1396704136
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J1894 Issued in TX
Practice address
115 S Kent St
Gorman, TX 76454-3060
Phone
(254) 734-4254
Fax
(254) 734-4355
NPI assigned
Mar 21, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J1894 TX Primary

Addresses

Primary practice location

115 S Kent St
Gorman, TX 76454-3060

Mailing address

115 S Kent St
Gorman, TX 76454-3060
Phone (254) 734-4254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000202 TX Practitioner - Family Practice 8123035235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Daniel M Brudnak MD Faafp PAGroup PAC ID 2860521739, 2 clinicians

Practice addresses (Care Compare)

115 S Kent St
Gorman, TX 76454-3060
Phone (254) 734-4254

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daniel M Brudnak MD Faafp PA Family Medicine CurrentSince Apr 13, 2010 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

115 S Kent St
Gorman, TX 76454
Phone (254) 734-4254

Organizations & group practices 4

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 9

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1396704136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S KENT ST",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764543060",
            "telephone_number": "254-734-4254",
            "fax_number": "254-734-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S KENT ST",
            "city": "GORMAN",
            "state": "TX",
            "postal_code": "764543060",
            "telephone_number": "254-734-4254",
            "fax_number": "254-734-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUDNAK",
        "first_name": "DANIEL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J1894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gorman, TX

Sources for this page

Verify at the official NPI Registry.