Bryan Mitchell Revelle, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1695 Issued in TX

Practice address

2840 Collingwood Drive
Round Rock, TX 78665-5655

Phone

(512) 248-0912

Fax

(512) 248-0941

NPI assigned

May 17, 2007

Last updated

Oct 18, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Associates in Medicine, P.C.

  dba The Family Medical Centers

  • Podiatrist
  • Hermitage, TN
  • NPI 1154368272
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1487861308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1645",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786801645",
            "telephone_number": "512-248-0912",
            "fax_number": "512-248-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 COLLINGWOOD DRIVE",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786655655",
            "telephone_number": "512-248-0912",
            "fax_number": "512-248-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVELLE",
        "first_name": "BRYAN",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resilient Emerald
• Resolution Eyecare Round Rock, PLLC
• Retina Physicians of Central Texas PLLC
• Jessica Carmen Reuben, M.D.
• Hannah Katherine Reveile
• Rewind Minds
• Luis Angel Reyes Mercado, M.D.
• Roxana Reyes Ortega
• Elisa Reyes
• Emilie Anne Reyes, MSN, APRN, ACNPC-AG

• Podiatrist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.

Verify at the official NPI Registry.