Individual provider Active NPI

Bratcher Lee Runyan, MD

  • Surgery Physician
  • Round Rock, TX
National Provider Identifier
1730300211
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
M6479 Issued in TX
Practice address
7200 Wyoming SPGS
Suite 500
Round Rock, TX 78681-4307
Phone
(512) 244-0111
Fax
(512) 244-2479
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X M6479 TX Primary
Surgery Physician 208600000X 5777 KS

Addresses

Primary practice location

7200 Wyoming SPGS
Suite 500
Round Rock, TX 78681-4307

Mailing address

7200 Wyoming Springs Dr Ste 500
Round Rock, TX 78681-4307
Phone (512) 244-0111

Other identifiers 4

IdentifierTypeStateIssuer
194796202MedicaidTX
844T78OtherTXBCBS
8J9713OtherTXMEDICARE
9297065OtherTXAETNA

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
I20071108000758 TX Practitioner - General Surgery 5698863645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Texas Surgical AssociatesGroup PAC ID 3476639238, 10 clinicians

Practice addresses (Care Compare)

7200 Wyoming Springs Dr
Suite 500
Round Rock, TX 78681-4307
Phone (512) 244-0111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5777KSMDSurgery Physician
M6479TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Angelina Surgical Associates Surgery PastSince Oct 1, 2017 Accepting new patients
St Davids Healthcare Partnership LP LLP Past Accepting new patients

Organizations & group practices 3

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 1

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1730300211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPRINGS DR STE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814307",
            "telephone_number": "512-244-0111",
            "fax_number": "512-244-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 WYOMING SPGS",
            "address_2": "SUITE 500",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814307",
            "telephone_number": "512-244-0111",
            "fax_number": "512-244-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "BRATCHER",
        "middle_name": "LEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "M6479",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "5777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194796202",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "844T78",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8J9713",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9297065",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.