Brenda S. Forbes, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

05883T Issued in TX

Practice address

12221 Mopac Expressway North
Austin, TX 78758-2483

Phone

(512) 901-4014

Fax

(512) 901-3914

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: 11230-forbes-brenda@direct.leadingreach.com

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.

• Austin Diagnostic Clinic, PA

  • Ambulatory Surgical Clinic/Center
  • Austin, TX
  • NPI 1619923950
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1659328581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4014",
            "fax_number": "512-901-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MOPAC EXPRESSWAY NORTH",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582483",
            "telephone_number": "512-901-4014",
            "fax_number": "512-901-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORBES",
        "first_name": "BRENDA",
        "middle_name": "S.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05883T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150413602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150413601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Foot, MPH, RDN, LDN
• Fora Fertility, PLLC
• Jean-Pierre Forage, M.D.
• Julie Foran, APRN
• Ashley Forbes, LAC
• Marion McLaurin Forbes, M.D.
• Sean Gregor Forbes, DC
• Stephanie Shawn Forbes, D.C.
• Rachael Smyers Forbis
• Julianne M. Forcier, M.S., L.AC.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.