Individual provider Active NPI

Jason L Brannen, MD

  • Orthopaedic Surgery Physician
  • The Woodlands, TX
National Provider Identifier
1568610434
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
N9815 Issued in TX
Practice address
17198 St Lukes Way Ste 600
The Woodlands, TX 77384-8017
Phone
(936) 266-2650
Fax
(936) 266-8520
NPI assigned
Sep 4, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X N9815 TX Primary

Addresses

Primary practice location

17198 St Lukes Way Ste 600
The Woodlands, TX 77384-8017

Mailing address

17521 St Lukes Way Ste 600
The Woodlands, TX 77384-8039
Phone (936) 266-3516

Other practice location 1

8558 Creekside Forest Dr Ste B
The Woodlands, TX 77375-2175
Phone (832) 534-7700

Other identifiers 1

IdentifierTypeStateIssuer
344487902MedicaidTX

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
I20120910000296 TX Practitioner - Orthopedic Surgery 9436328515 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baylor St. Luke'S Medical GroupGroup PAC ID 9133213192, 172 clinicians

Practice addresses (Care Compare)

17198 St Lukes Way
Suite 440
The Woodlands, TX 77384-8015
Phone (936) 266-2500

17350 St Lukes Way
Suite 400
The Woodlands, TX 77384-4167
Phone (281) 444-3278

17400 St Luke'S Way
The Woodlands, TX 77384-8036
Phone (932) 266-9000

20207 Chasewood Park Dr
Houston, TX 77070-1442

8558 Creekside Forest Dr
Suite B
The Woodlands, TX 77375-2175
Phone (936) 266-4150

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement48
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9815TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baylor St. Luke'S Medical Group Orthopaedic Surgery CurrentSince Jun 1, 2021 Accepting new patients
Round Table Physicians Group PLLC Current Accepting new patients
Round Table Specialist Group, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

11103 Westheimer Rd
#C
Houston, TX 77042

6624 Fannin St
Ste 1240
Houston, TX 77030
Phone (832) 355-5575

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

2255 E Mossy Oaks Rd
Ste 300
Spring, TX 77389
Phone (936) 266-2650

17198 St Lukes Way
Ste 440
The Woodlands, TX 77384
Phone (936) 266-2500

17198 St Lukes Way
Ste 600
The Woodlands, TX 77384
Phone (936) 266-2650

8558 Creekside Forest Dr
Ste B
The Woodlands, TX 77375
Phone (832) 534-7700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIHBCA
  • Direct secure messaging: jbrannen7433@direct.stlukeshealth.org
  • Direct secure messaging: jbrannen113038@directhoustonmethodist.org

Organizations & group practices 4

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 10

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1568610434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17521 ST LUKES WAY STE 600",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848039",
            "telephone_number": "936-266-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17198 ST LUKES WAY STE 600",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848017",
            "telephone_number": "936-266-2650",
            "fax_number": "936-266-8520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8558 Creekside Forest Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "773752175",
            "country_code": "US",
            "telephone_number": "832-534-7700",
            "fax_number": "936-266-4159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "JASON",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "N9815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344487902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.