Active NPI
Brandy D Wellmon, MS
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04437
- Practice address
- 6500 North Mopac
BLDG. III Suite 200
Austin, TX 78731 - Phone
- (512) 458-8400
- Fax
- (512) 458-8593
- NPI assigned
- Jul 14, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04437 | TX | Primary |
Addresses
Primary practice location
6500 North Mopac
BLDG. III Suite 200
Austin, TX 78731
Mailing address
6500 North Mopac
BLDG. III Suite 200
Austin, TX 78731
Phone (512) 458-8400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Baylor College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6500 N Mopac Expressway
BLDG 3 Suite 200
Austin, TX 78731-4309
Phone (512) 458-8400
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.33 of 100
- Quality
- 65.64
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 72.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04437 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Diabetes and Endocrinology PA | Current | Accepting new patients |
Locations
6500 N Mopac Expy
Bldg 3
Austin, TX 78731
Phone (512) 458-8400
5000 Davis Ln
Ste 200
Austin, TX 78749
Phone (512) 338-4500
110 Deer Ridge Dr
Round Rock, TX 78681
Phone (512) 458-8400
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Austin, TX
- NPI 1467427419
-
- Endocrinology, Diabetes & Metabolism Physician
- Round Rock, TX
- NPI 1083888523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710903778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 NORTH MOPAC",
"address_2": "BLDG. III SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-458-8400",
"fax_number": "512-458-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 NORTH MOPAC",
"address_2": "BLDG. III SUITE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-458-8400",
"fax_number": "512-458-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLMON",
"first_name": "BRANDY",
"middle_name": "D",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04437",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
- Wellman Stores LLC
- Jane A Wellman, ARNP
- Michael J. Wellman, CRNA
- Wellmed Medical Group, P.a. (WellMed Senior Clinic at Ben White)
- Wellmed Medical Group, P.a. (WellMed Senior Clinic at Midtown)
- Wellness and Equity Alliance
- Wellness Dental,P.C.
- Wellness Integrative Health LLC (SOW HealthCare)
- Wellness Matters PC
- Wellness Matters Two
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.