Individual provider Active NPI

Brent S Wood, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Georgetown, TX
National Provider Identifier
1669606414
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1890 Issued in TX
Practice address
1502 Blue Ridge Dr Ste 104
Georgetown, TX 78626-1002
Phone
(512) 719-4545
Fax
(512) 372-3396
NPI assigned
May 8, 2009
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 1890 TX
Sports Medicine Podiatrist 213ES0000X 1890 TX
Foot & Ankle Surgery Podiatrist 213ES0103X 1890 TX Primary

Addresses

Primary practice location

1502 Blue Ridge Dr Ste 104
Georgetown, TX 78626-1002

Mailing address

1502 Blue Ridge Dr Ste 104
Georgetown, TX 78626-1002
Phone (512) 719-4545

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000528 TX Practitioner - Podiatry 8426196205 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10601 Pecan Park Blvd
Suite 301 B
Austin, TX 78750-1448

1502 Blue Ridge Dr
Suite 104
Georgetown, TX 78626-1002
Phone (512) 719-4545

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue16
Removal of skin lesions1-10
Removal of nail tissue92
Skin biopsy30

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1890TXMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Cardiovascular Solutions Single Specialty CurrentSince Jul 7, 2023 Accepting new patients
Brent S Wood DPM PLLC Single Specialty CurrentSince Oct 29, 2012 Accepting new patients
Robert Neville & Associates PA Single Specialty Past Accepting new patients

Locations

4006 Belt Line Rd
Ste 185
Addison, TX 75001
Phone (214) 619-5632

10601 Pecan Park Blvd
Ste 301-B
Austin, TX 78750
Phone (512) 719-4545

3107 Oak Creek Dr
Ste 120
Austin, TX 78727
Phone (512) 244-7800

1502 Blue Ridge Dr
Ste 104
Georgetown, TX 78626
Phone (512) 719-4545

Interoperability endpoints

  • Direct secure messaging: direct@brentswooddpmpllcaustintx.compulinkdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JBDBCD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1669606414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 BLUE RIDGE DR STE 104",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261002",
            "telephone_number": "512-719-4545",
            "fax_number": "512-372-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 BLUE RIDGE DR STE 104",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786261002",
            "telephone_number": "512-719-4545",
            "fax_number": "512-372-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "BRENT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "TX",
            "license": "1890",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "TX",
            "license": "1890",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.