Individual provider Active NPI

Robert Brandon Harrell, MD

  • Surgery Physician
  • Live Oak, TX
National Provider Identifier
1487816245
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N1672 Issued in TX
Practice address
12709 Toepperwein Rd
Suite 302
Live Oak, TX 78233-3258
Phone
(210) 653-9307
Fax
(210) 653-7014
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X N1672 TX Primary

Addresses

Primary practice location

12709 Toepperwein Rd
Suite 302
Live Oak, TX 78233-3258

Mailing address

8109 Fredericksburg Rd
Physician Practice Services
San Antonio, TX 78229-3311
Phone (210) 653-9307

Other identifiers 3

IdentifierTypeStateIssuer
208888204MedicaidUT
8DV049OtherTXBCBS
208888205OtherTXCSHCN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ROBERT.HARRELL@hca7.eclinicaldirectplus.com

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
I20090928000020 TX Practitioner - General Surgery 3476609843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Physician Practices PLLCGroup PAC ID 8022171974, 176 clinicians

Practice addresses (Care Compare)

1139 E Sonterra Blvd
San Antonio, TX 78258-4349

12412 Judson Rd
Live Oak, TX 78233-3255
Phone (210) 757-7000

12500 Judson Rd
Suite 220
Live Oak, TX 78233-4101
Phone (210) 653-9307

6800 I 10
Suite 100
San Antonio, TX 78201-2039
Phone (210) 575-8289

6800 W Ih
10 Suite 130
San Antonio, TX 78201-2039
Phone (210) 932-1487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)35
Mastectomy11
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Physician Practices, PLLC Surgery CurrentSince Aug 1, 2013 Accepting new patients
Tri-County Clinical Surgery Past Accepting new patients
Ascension Seton Past Accepting new patients
The Surgical Clinic PLLC Surgery PastSince Mar 27, 2022 Accepting new patients
Tri-County Clinical Surgery Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12709 Toepperwein Rd
Ste 302
Live Oak, TX 78233
Phone (210) 653-9307

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

111 Dallas St
Fl 4
San Antonio, TX 78205
Phone (210) 297-7195

8109 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 575-0355

Interoperability endpoints

  • Direct secure messaging: robert.harrell@hca7.eclinicaldirectplus.com
  • Direct secure messaging: 3973-harrell-brandon@direct.leadingreach.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIJFBA
  • FHIR API: https://api.platform.athenahealth.com/16700/brand/2/csg/1/fhir/r4

Organizations & group practices 5

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 4

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1487816245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8109 FREDERICKSBURG RD",
            "address_2": "PHYSICIAN PRACTICE SERVICES",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293311",
            "telephone_number": "210-653-9307",
            "fax_number": "210-653-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD",
            "address_2": "SUITE 302",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333258",
            "telephone_number": "210-653-9307",
            "fax_number": "210-653-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRELL",
        "first_name": "ROBERT",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "N1672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208888204",
            "state": "UT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8DV049",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "208888205",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ROBERT.HARRELL@hca7.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12709 Toepperwein Rd",
            "address_2": "SUITE 302",
            "city": "Live Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782333258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.