Individual provider Active NPI

Brandon Scott Dupont, M.D.

  • Emergency Medicine Physician
  • Abilene, TX
National Provider Identifier
1679992804
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R2847 Issued in TX
Practice address
6250 Hwy 83/84
Abilene, TX 79606
Phone
(325) 428-1000
Fax
(325) 428-1119
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R2847 TX Primary

Addresses

Primary practice location

6250 Hwy 83/84
Abilene, TX 79606

Mailing address

600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3397

Other practice location 1

600 Gresham Dr
Suite 304
Norfolk, VA 23507-1904
Phone (757) 388-3397

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
I20170717000113 TX Practitioner - Emergency Medicine 0345541751 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2847TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Plains Memorial Hospital Emergency Medicine CurrentSince Dec 31, 2024 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Rolling Plains Memorial Hospital Past Accepting new patients
Sentara Medical Group Emergency Medicine Past Accepting new patients

Locations

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-1010

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

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.

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1679992804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 HWY 83/84",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-428-1000",
            "fax_number": "325-428-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Gresham Dr",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235071904",
            "country_code": "US",
            "telephone_number": "757-388-3397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "R2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.