Individual provider Active NPI

Brandon R Brown, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Irving, TX
National Provider Identifier
1437291630
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
23179 Issued in TX
Practice address
440 W Interstate Hwy 635
#445
Irving, TX 75063-3811
Phone
(972) 401-8301
Fax
(972) 444-8265
NPI assigned
Feb 13, 2007
Last updated
Jan 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 52716 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 23179 TX Primary

Addresses

Primary practice location

440 W Interstate Hwy 635
#445
Irving, TX 75063-3811

Mailing address

1612 Lancaster Dr
Ste 445
Grapevine, TX 76051-3544
Phone (817) 329-4979

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080102000643 TX Practitioner - Oral Surgery 6103906268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Spingola Buchmann and Brown PartnershipGroup PAC ID 3173605276, 6 clinicians

Practice addresses (Care Compare)

1612 Lancaster Dr
Grapevine, TX 76051-3544
Phone (817) 329-4979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52716CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Spingola Buchmann & Brown Partnership CurrentSince Jul 9, 2007 Accepting new patients

Locations

4130 Justin Rd
Ste 105
Flower Mound, TX 75077
Phone (972) 371-0125

1612 Lancaster Dr
Grapevine, TX 76051
Phone (817) 329-4979

1612 Lancaster Dr
Ste 445
Grapevine, TX 76051

440 W Lyndon B Johnson Fwy
Ste 445
Irving, TX 75063
Phone (972) 401-8301

1139 Keller Pkwy
Keller, TX 76248
Phone (817) 379-1654

Interoperability endpoints

  • Direct secure messaging: bbrown@direct.uspi.com

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1437291630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 LANCASTER DR",
            "address_2": "STE 445",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513544",
            "telephone_number": "817-329-4979",
            "fax_number": "817-488-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 W INTERSTATE HWY 635",
            "address_2": "#445",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750633811",
            "telephone_number": "972-401-8301",
            "fax_number": "972-444-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRANDON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "52716",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "23179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.