Brodie Dejernett, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

8672TG Issued in TX

Practice address

839 N Nolan River Rd
Cleburne, TX 76033-7001

Phone

(817) 645-2411

Fax

(817) 645-2189

NPI assigned

Jun 9, 2015

Sex

Male

Sole proprietor

No

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment Care Compare group NPD
• Martin, Wedel & Bullard, P.C.

  • Optometrist
  • Midlothian, TX
  • NPI 1437157047
  Medicare reassignment NPD
• Marvin W. Brown III OD PA

  • Optometrist
  • Waxahachie, TX
  • NPI 1538395082
  Medicare reassignment NPD
• Stephen G. Lanier, O.D., P.C.

  • Optometrist
  • Weatherford, TX
  • NPI 1174792527
  Medicare reassignment NPD
• Martin, Wedel & Bullard, P.C.

  • Optometrist
  • Cleburne, TX
  • NPI 1245238815
  NPD
• Martin, Wedel & Bullard, P.C.

  • Optometrist
  • Burleson, TX
  • NPI 1821616681
  NPD
• Dianne Bui Dao OD PC

  • Optometrist
  • Pearland, TX
  • NPI 1316159346
  NPD (past)
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)
• Pope Enterprises PLLC

  • Optometrist
  • Friendswood, TX
  • NPI 1396927059
  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1568843100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6705 FIRE DANCE DR",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262614",
            "telephone_number": "940-783-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N NOLAN RIVER RD",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760337001",
            "telephone_number": "817-645-2411",
            "fax_number": "817-645-2189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4460 E Highway 287 Ste A",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "TX",
            "postal_code": "760657031",
            "country_code": "US",
            "telephone_number": "972-775-8000",
            "fax_number": "972-775-8003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEJERNETT",
        "first_name": "BRODIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-09",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8672TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidel Davila
• Janice Marie Davila, RD, LD
• Joe Russell Davis, RPH
• Lynne A Davis, PT
• Sidney Charles Davis, D.D.S.
• Joel Santos Deleon, C.P, L.P.
• Jory Shane Deleon, CP.,L.P.
• Delta Sleep Medicine, Inc.
• Iva Elizaberth Denhartog, LPC
• Aramy Denley, B.A., M.S.

• Optometrist in Cleburne, TX
• Providers in Cleburne, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.