Individual provider Active NPI

Jennifer Leigh Brandenberger, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1396949996
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N5588 Issued in TX
Practice address
11910 Greenville Ave
Suite 650
Dallas, TX 75243-3596
Phone
(214) 373-9092
Fax
(214) 373-9250
NPI assigned
Jun 14, 2007
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 002638 GA
Anesthesiology Physician 207L00000X N5588 TX Primary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X BP1-0026597 TX

Addresses

Primary practice location

11910 Greenville Ave
Suite 650
Dallas, TX 75243-3596

Mailing address

PO Box 741475
Dallas, TX 75374-1475
Phone (214) 373-9092

Other identifiers 1

IdentifierTypeStateIssuer
3851910263OtherMYUTMB 3851910263-COMMERCIAL NUMBER

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
I20100907000239 TX Practitioner - Anesthesiology 0941324420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.22 of 100Reported as group
Quality
79.08
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
002638GAMDAnesthesiology Physician
N5588TXMDAnesthesiology Physician
BP1-0026597TXMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Anesthesia Associates, LLP Anesthesiology Past Accepting new patients
Ncac Anesthesia Consultants, PA Anesthesiology Past Accepting new patients
Rapimed, LLC PastSince Oct 1, 2014 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1396949996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741475",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753741475",
            "telephone_number": "214-373-9092",
            "fax_number": "214-373-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11910 GREENVILLE AVE",
            "address_2": "SUITE 650",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433596",
            "telephone_number": "214-373-9092",
            "fax_number": "214-373-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDENBERGER",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "002638",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N5588",
            "primary": true
        },
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "TX",
            "license": "BP1-0026597",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3851910263-COMMERCIAL NUMBER",
            "identifier": "3851910263",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.