Organization Active NPI

Austin Vascular Institute PA

  • Surgery Physician
  • Austin, TX
National Provider Identifier
1487890620
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
AUSTIN VASCULAR INSTITUTE PA
Practice address
7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258
Phone
(512) 346-8346
Fax
(512) 346-8343
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Christopher Brennig, MDNPI 1922103159
Title
Owner
Phone
(512) 346-8346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X TX Primary
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X TX

Addresses

Primary practice location

7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258

Mailing address

7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258
Phone (512) 346-8346

Other identifiers 1

IdentifierTypeStateIssuer
0063RZOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090213000169 TX Part B Supplier - Clinic/Group Practice 4082779632 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1487890620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC EXPRESSWAY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313258",
            "telephone_number": "512-346-8346",
            "fax_number": "512-346-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC EXPRESSWAY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313258",
            "telephone_number": "512-346-8346",
            "fax_number": "512-346-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN VASCULAR INSTITUTE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "BRENNIG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-346-8346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0063RZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.