Active NPI
Whitney Brant Edmister, M.D., PH.D.
- Diagnostic Radiology Physician
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- P2638
- Practice address
- 2401 S 31St St
Temple, TX 76508-0001 - Phone
- (254) 724-2111
- Fax
- (702) 384-1815
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 11819 | NV | |
| Diagnostic Radiology Physician | 2085R0202X | 44175 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | P2638 | TX | Primary |
Addresses
Primary practice location
2401 S 31St St
Temple, TX 76508-0001
Mailing address
PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-8800
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417929779 | Medicaid | CA | |
| 502432300 | Medicaid | MN | |
| 1417929779 | Medicaid | NV | |
| 200470210A | Medicaid | OK | |
| P01168981 | Other | NV | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wedmister216322@direct.sw.org | Direct |
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
- Diagnostic Radiology
- Education
- Harvard Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1605 S 31St St
Baylor Scott and White Center for Dia
Temple, TX 76508-0001
Phone (254) 215-0100
2401 S 31 St
Temple, TX 76508-0001
Phone (254) 724-2459
2401 S 31St St BLDG
35 Baylor Scott and White Roney Bone and
Temple, TX 76508-0001
Phone (254) 724-2663
425 University Blvd
Round Rock, TX 78665-1053
Phone (512) 509-0200
7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 761-4444
810 W U Ave
Temple, TX 76508-0001
Phone (254) 724-2585
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44175 | MN | MD | Diagnostic Radiology Physician |
| 11819 | NV | MD | Diagnostic Radiology Physician |
| P2638 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Btdi JV, LLP | Current | Accepting new patients | |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Scott & White Clinic | Diagnostic Radiology | Current | Accepting new patients |
| Btdi JV, LLP | Current | Accepting new patients | |
| Scott & White Hospital - Taylor | Past | Accepting new patients |
Locations
5245 W Highway 290
Austin, TX 78735
Phone (512) 509-0100
700 Medical Pkwy
Brenham, TX 77833
Phone (979) 337-5000
5330 Overpass Rd
Ste 110
Buda, TX 78610
Phone (737) 999-6200
101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100
900 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 684-4000
1280 Arrington Rd
Ste 200
College Station, TX 77845
Phone (979) 207-6550
700 Scott and White Dr
College Station, TX 77845
Phone (979) 207-0100
100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100
810 W Highway 71
Marble Falls, TX 78654
Phone (830) 201-7100
2600 E Pflugerville Pkwy
Ste 100
Pflugerville, TX 78660
Phone (512) 654-6100
1701 E Pflugerville Pkwy
Pflugerville, TX 78660
Phone (512) 259-6000
300 University Blvd
Bldg A
Round Rock, TX 78665
Phone (512) 509-0100
305 Mallard Ln
Taylor, TX 76574
Phone (512) 352-7611
2401 S 31st St
#200
Temple, TX 76508
Phone (254) 215-0100
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
546 N Kegley Rd
Temple, TX 76502
Phone (254) 215-0900
Interoperability endpoints
- wedmister216322@direct.sw.org
Organizations & group practices 9
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.
-
dba Baylor Scott & White Clinic - Temple
- Internal Medicine Physician
- Temple, TX
- NPI 1093779704
Diagnostic Radiology
-
dba Touchstone Imaging Stone Oak
- Physiological Laboratory
- San Antonio, TX
- NPI 1194117853
-
- Internal Medicine Physician
- Pflugerville, TX
- NPI 1679691729
Diagnostic Radiology
-
dba Baylor Scott & White Medical Center - Taylor
- Emergency Medicine Physician
- Taylor, TX
- NPI 1659366557
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Central Texas
- General Acute Care Hospital
- Killeen, TX
- NPI 1629089966
-
dba Baylor Scott & White Medical Center - College Station
- General Acute Care Hospital
- College Station, TX
- NPI 1265772362
-
dba Baylor Scott & White Medical Center - Marble Falls
- General Acute Care Hospital
- Marble Falls, TX
- NPI 1396138970
-
dba Baylor Scott & White Medical Center - Round Rock
- General Acute Care Hospital
- Round Rock, TX
- NPI 1265568638
-
dba Baylor Scott & White Medical Center - Temple
- General Acute Care Hospital
- Temple, TX
- NPI 1477516466
-
dba Kings's Daughters Hospital- Scott & White Healthcare
- General Acute Care Hospital
- Temple, TX
- NPI 1578502613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1417929779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 844658",
"city": "DALLAS",
"state": "TX",
"postal_code": "752844658",
"telephone_number": "254-724-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765080001",
"telephone_number": "254-724-2111",
"fax_number": "702-384-1815"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMISTER",
"first_name": "WHITNEY",
"middle_name": "BRANT",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "11819",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "44175",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "P2638",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417929779",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "502432300",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417929779",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200470210A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01168981",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "wedmister216322@direct.sw.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765080001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Temple, TX
- Charles Henry Eberhart III, LVN
- Elizabeth Ann Ebert, M.D.
- Benson Ebozue, DPM
- Kaylen Echols
- Tracey Eddy, LPC
- Educare Community Living Corporation - Texas
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.