Individual provider Active NPI

Gary Brothers, LCSW

  • Clinical Social Worker
  • Austin, TX
National Provider Identifier
1508037748
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
50202 Issued in TX
Practice address
8700 Manchaca Rd
Ste 306
Austin, TX 78748-5374
Phone
(808) 628-8960
Fax
(512) 292-1144
NPI assigned
Mar 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 50202 TX Primary

Addresses

Primary practice location

8700 Manchaca Rd
Ste 306
Austin, TX 78748-5374

Mailing address

8700 Manchaca Rd
Ste 306
Austin, TX 78748-5374
Phone (808) 628-8960

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000225 TX Practitioner - Clinical Social Worker 9537154810 Practice locations: West Lake Hills, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1301 S Capital of Texas Hwy
Suite C130
West Lake Hills, TX 78746-6590
Phone (808) 628-8960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gary Brothers LCSW LLC Clinical Current Accepting new patients
Water Leaf Surgery Center, LTD Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1508037748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 MANCHACA RD",
            "address_2": "STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485374",
            "telephone_number": "808-628-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 MANCHACA RD",
            "address_2": "STE 306",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787485374",
            "telephone_number": "808-628-8960",
            "fax_number": "512-292-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-16",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.