Individual provider Active NPI

Brandon Robert Callahan, M.D.

  • Diagnostic Radiology Physician
  • Fort Worth, TX
National Provider Identifier
1427316355
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
S1990 Issued in TX
Practice address
815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone
(817) 321-0404
Fax
(469) 522-6889
NPI assigned
Apr 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X ME136886 FL
Diagnostic Radiology Physician 2085R0202X S1990 TX Primary

Addresses

Primary practice location

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0404

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
I20190625003229 TX Practitioner - Diagnostic Radiology 8224319025 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136886FLMDDiagnostic Radiology Physician
S1990TXMDDiagnostic Radiology Physician

Practice roles (24 of 25)

OrganizationSpecialtyStatusNew patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 5, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC CurrentSince Dec 20, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Health Imaging Partners, LLC CurrentSince Mar 18, 2024 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 2, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Mar 12, 2026 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Aug 5, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Sep 17, 2020 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Apr 14, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jun 26, 2019 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 2, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 25, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jun 21, 2024 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations

10057 County Road 472
Anna, TX 75409

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

Networks

  • Freedom Health HMO Network

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Albany Medical College of Union University, 2012
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Associates of North Texas PA 340 clinicians

Practice addresses (Care Compare)

815 Pennsylvania Ave
Fort Worth, TX 76104-2224
Phone (817) 321-0470

Hospital & facility affiliations

  • Texas Health Huguley Hospital Fort Worth South Hospital, Fort Worth, TX, CCN 450677
  • Texas Health Hospital Mansfield Hospital, Mansfield, TX, CCN 670309
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023
  • Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

Merit-based Incentive Payment System (MIPS)

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

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1427316355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404",
            "fax_number": "469-522-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "BRANDON",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-28",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME136886",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S1990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.