Active NPI
Brandon Robert Callahan, M.D.
- Diagnostic Radiology Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- S1990
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME136886 | FL | MD | Diagnostic Radiology Physician |
| S1990 | TX | MD | Diagnostic Radiology Physician |
Practice roles (24 of 25)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of North Texas PA | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Current | 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.
-
- Diagnostic Radiology Physician
- Fort Worth, TX
- NPI 1710970975
Diagnostic Radiology, TX
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
TX
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1649753716
Diagnostic Radiology
-
- Physiological Laboratory
- Flower Mound, TX
- NPI 1942081153
Diagnostic Radiology
-
- Physiological Laboratory
- Southlake, TX
- NPI 1023439767
Diagnostic Radiology
-
- Physiological Laboratory
- Fort Worth, TX
- NPI 1184356685
Diagnostic Radiology
-
- Physiological Laboratory
- Bedford, TX
- NPI 1215358957
Diagnostic Radiology
-
- Physiological Laboratory
- Frisco, TX
- NPI 1285370551
Diagnostic Radiology
-
- Physiological Laboratory
- Mansfield, TX
- NPI 1295477974
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Amarillo, TX
- NPI 1467442418
Hospital
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
Hospital
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
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
- Texas Health Hospital Mansfield
- Methodist Mansfield Medical Center
- Texas Health Harris Methodist Fort Worth
- Northwest Texas Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.87 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.75
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.