Active NPI
Tracy Rodriguez Lama-Briseno, D.O.
- Pediatrics Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P0078
- Practice address
- 1210 W Braker LN
Austin, TX 78758-3801 - Phone
- (512) 978-9300
- Fax
- (512) 279-2556
- NPI assigned
- Jun 4, 2008
- Last updated
- Mar 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0032382 | TX | |
| Pediatrics Physician | 208000000X | P0078 | TX | Primary |
Addresses
Primary practice location
1210 W Braker LN
Austin, TX 78758-3801
Mailing address
1210 W Braker LN
Austin, TX 78758-3801
Phone (512) 978-9300
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P0078 | TX | MD | Emergency Medicine Physician |
| BP1-0032382 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Healthcare Associates, PLLC | Pediatrics | Current | Accepting new patients |
| Northeast Pediatric Associates PA | Pediatrics | Past | Accepting new patients |
Locations
1139 E Sonterra Blvd
#205
San Antonio, TX 78258
Phone (210) 614-2229
1139 E Sonterra Blvd
Ste 205
San Antonio, TX 78258
Phone (210) 614-2229
1355 Central Pkwy S
Ste 400
San Antonio, TX 78232
Phone (210) 349-9300
14100 San Pedro Ave
Ste 200
San Antonio, TX 78232
8606 Village Dr
#A
San Antonio, TX 78217
Phone (210) 657-0220
5000 Schertz Pkwy
Ste 202
Schertz, TX 78154
Phone (210) 651-1055
18772 Forty Six Pkwy
Bldg 5
Spring Branch, TX 78070
Phone (210) 692-3636
Interoperability endpoints
- tlama@npa.pcc-direct.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1902994080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489104000000",
"number": "1558520544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 W BRAKER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583801",
"telephone_number": "512-978-9300",
"fax_number": "512-279-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 W BRAKER LN",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787583801",
"telephone_number": "512-978-9300",
"fax_number": "512-279-2556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMA-BRISENO",
"first_name": "TRACY",
"middle_name": "RODRIGUEZ",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2017-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0032382",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P0078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Christoffer Lam, MD
- Halie Pham Lam
- Leanne T Lam, MD
- Lisa Terrance Lam, NP
- Shiva Kumar Lam, MD
- Daniel Jon Lamanna, MSN-APRN-PMHNP
- Lamar Dental Center
- Lamar Plaza Drug Store la&B, LLC (Lamar Plaza Drug Store Long-Term Care)
- Lamar Plaza Drug Store la&B, LLC (Lamar Plaza Drug Store)
- Alexandra Lamari-Fisher, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.