NPIMap

Individual provider Active NPI

David Gregory Brabham, DO

  • Cardiovascular Disease Physician
  • Amarillo, TX
National Provider Identifier
1447424007
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
M7869 Issued in TX
Practice address
6200 I-40 W
Amarillo, TX 79106-2512
Phone
(806) 354-9764
Fax
(806) 355-2728
NPI assigned
Apr 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X M7869 TX Primary

Addresses

Primary practice location

6200 I-40 W
Amarillo, TX 79106-2512

Mailing address

6200 I-40 W
Amarillo, TX 79106-2512
Phone (806) 354-9764

Other identifiers 1

IdentifierTypeStateIssuer
M7869OtherTXTX LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110721000350 TX Practitioner - Cardiovascular Disease (Cardiology) 5092873778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of North Texas HSC, College of Osteopathic Med, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Texas Healthcare System IncGroup PAC ID 0941106363, 22 clinicians
Bsa Hospital LLCGroup PAC ID 6305090762, 20 clinicians
Cardiology Center of AmarilloGroup PAC ID 9234036013, 14 clinicians

Practice addresses (Care Compare)

1000 Craig Dr
Amarillo, TX 79106-4015
Phone (806) 351-7045

1501 S Coulter St
Amarillo, TX 79106-1770

1600 Wallace Blvd
Amarillo, TX 79106-1799
Phone (806) 212-6036

1600 Wallace Boulevard
Amarillo, TX 79106-1799

6200 W Interstate 40
Amarillo, TX 79106-2512
Phone (806) 354-9764

Hospital & facility affiliations

  • Bsa Compassion Home Care Home health agency, Amarillo, TX, CCN 677943
  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231
  • Northwest Texas Hospital Hospital, Amarillo, TX, CCN 450209
  • Golden Plains Community Hospital Hospital, Borger, TX, CCN 451369
  • Pampa Regional Medical Center Hospital, Pampa, TX, CCN 451398
  • Shamrock General Hospital Hospital, Shamrock, TX, CCN 451340

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsa Hospital LLC CurrentSince Jan 6, 2013 Accepting new patients
Bsa Hospital, LLC CurrentSince Jan 6, 2013 Accepting new patients
Northwest Texas Healthcare System Inc CurrentSince Nov 22, 2014 Accepting new patients
Bsa Hospital LLC Current Accepting new patients
Cardiology Center of Amarillo Cardiovascular Disease CurrentSince Jul 1, 2011 Accepting new patients
Baptist St. Anthony'S Hospital Corporation Past Accepting new patients
Cca ASC, LLC Past Accepting new patients

Locations

401 Botulph Ln
Santa Fe, NM 87505
Phone (505) 500-8356

6200 W Interstate 40
Amarillo, TX 79106
Phone (806) 354-9764

1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000

1000 Craig Dr
Amarillo, TX 79106
Phone (806) 212-6649

6707 Wolflin Ave
Ste 400
Amarillo, TX 79106
Phone (806) 354-9764

6200 W Interstate 40
Ste 200
Amarillo, TX 79106
Phone (806) 354-9764

Interoperability endpoints

  • Direct secure messaging: david.brabham.p41@direct.ccallp.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1447424007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 I-40 W",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062512",
            "telephone_number": "806-354-9764",
            "fax_number": "806-355-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRABHAM",
        "first_name": "DAVID",
        "middle_name": "GREGORY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "M7869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "M7869",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.