Active NPI
Dan Brajtbord, M.D.
- Anesthesiology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- G9835
- Practice address
- 6301 Gaston Ave
East Tower Suite 400
Dallas, TX 75214-3922 - Phone
- (214) 217-8001
- NPI assigned
- May 31, 2005
- Last updated
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | G9835 | TX | Primary |
Addresses
Primary practice location
6301 Gaston Ave
East Tower Suite 400
Dallas, TX 75214-3922
Mailing address
6301 Gaston Ave
East Tower Suite 400
Dallas, TX 75214-3922
Phone (214) 217-8001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Ohio, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
181 W Meadow Dr
Vail, CO 81657-5078
Phone (970) 476-2451
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G9835 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Serenity Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Fleming Island Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Physicians Anesthesia Group, LLP | Anesthesiology | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 322-5600
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
120 E Par St
Ste 2000
Orlando, FL 32804
Phone (407) 843-5665
2800 Bahia Vista St
Ste 300
Sarasota, FL 34239
Phone (941) 306-3166
983 S Beneva Rd
Sarasota, FL 34232
Phone (941) 365-5355
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Edwards, CO
- NPI 1457702409
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1093003535
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942248067
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaver Creek Medical Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Avon, CO
- NPI 1093361842
-
dba Shaw Cancer Center - Service of Vail Health Hospital
- General Acute Care Hospital
- Edwards, CO
- NPI 1144876251
-
dba Precourt Healing Center
- General Acute Care Hospital
- Edwards, CO
- NPI 1659151009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1700889060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "EAST TOWER SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-217-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 GASTON AVE",
"address_2": "EAST TOWER SUITE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752143922",
"telephone_number": "214-217-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAJTBORD",
"first_name": "DAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "G9835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- Brain Performance Center
- Brain Waves , PA
- Brainbridge Psychological and Behavioral Health (BrainBridge)
- Brainwave Diagnostic LLC
- Alycia Braithwaite, PA-C
- Braken Group, LLP (Braken Dayhab Center)
- Kelvin L. Bramlett, LMSW
- James Glenn Schweer Bramlette, MD
- Mairyn Branaman, DPT
- Anne Marie Brancaccio, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.