Individual provider Active NPI

Brandon Magallanez

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1679044259
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1212805 Issued in TX
Practice address
3415 Paesanos Pkwy Ste 100
San Antonio, TX 78231-3501
Phone
(210) 600-9766
Fax
(210) 600-9767
NPI assigned
Dec 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational Nurse 164X00000X 344339 TX
Family Nurse Practitioner 363LF0000X 1212805 TX Primary

Addresses

Primary practice location

3415 Paesanos Pkwy Ste 100
San Antonio, TX 78231-3501

Mailing address

338 W Formosa Blvd
San Antonio, TX 78221-2727
Phone (210) 842-4629

Other practice location 1

338 W Formosa Blvd
San Antonio, TX 78221-2727
Phone (210) 842-4629

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251030005153 TX Practitioner - Nurse Practitioner 6901395771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3415 Paesanos Pkwy
Suite 100
San Antonio, TX 78231-0002

Hospital & facility affiliations

  • Uvalde Memorial Hospital Hospital, Uvalde, TX, CCN 451387
  • Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
344339TXMDLicensed Vocational Nurse
1212805TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sigma Pain Clinic PA CurrentSince Oct 1, 2025 Accepting new patients
Texas Pain Professionals, PLLC PastSince Oct 1, 2025 Accepting new patients

Locations

11227 Toepperwein Rd
Ste 100
Live Oak, TX 78233

741 Generations Dr
Ste 115
New Braunfels, TX 78130

1339 E Court St
Ste 220
Seguin, TX 78155
Phone (830) 379-0299

3415 Paesanos Pkwy
Ste 100
Shavano Park, TX 78231

1038 Garner Field Rd
Uvalde, TX 78801
Phone (210) 655-8470

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12968/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brandon.magallanez.1@12968.direct.athenahealth.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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1544227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1679044259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "338 W FORMOSA BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782212727",
            "telephone_number": "210-842-4629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 PAESANOS PKWY STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782313501",
            "telephone_number": "210-600-9766",
            "fax_number": "210-600-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "338 W Formosa Blvd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782212727",
            "country_code": "US",
            "telephone_number": "210-842-4629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGALLANEZ",
        "first_name": "BRANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-08",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "344339",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1212805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.