Brent S Cardwell, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L2169 Issued in TX

Practice address

345 Cypress Creek Rd
Ste 104
Cedar Park, TX 78613-4406

Phone

(512) 336-2777

Fax

(512) 336-2778

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bcardwel@yourcarecommunity.org
• Direct secure messaging: brent.cardwell.3@11316.direct.athenahealth.com
• Direct secure messaging: brent.cardwell.2@11316.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/11316/brand/5/csg/1/fhir/r4

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.

• Austin Health Partners PLLC

  • Pediatrics Physician
  • Cedar Park, TX
  • NPI 1144724261
  Medicare reassignment NPD
• Cedar Park Pediatric and Family Medicine

  • Family Medicine Physician
  • Cedar Park, TX
  • NPI 1073644423
  Authorized official Same address or phone

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1720065709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15690",
            "address_2": "DEPT 923",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154051",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CYPRESS CREEK RD",
            "address_2": "STE 104",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134406",
            "telephone_number": "512-336-2777",
            "fax_number": "512-336-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDWELL",
        "first_name": "BRENT",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "8S5300",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cap City Fitt, LLC
• Capital Surgical Assisting, LLC
• Ruth Caporello
• Cardiovascular Specialists of Texas, P.a.
• Cardiovascular Specialists of Texas, P.a.
• Jennifer Mills Cardwell, M.D.
• Kailey Ann Cargill
• Carl Carlino, MD
• Mark D Carlson, MD
• Adam Carlton, MD

• Pediatrics Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.