Active NPI
Brett Thomas Zimmerman, DO
- Obstetrics & Gynecology Physician
- Granbury, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- U3763
- Practice address
- 1212 Medical Plaza CT
Granbury, TX 76048-5653 - Phone
- (817) 279-1776
- Fax
- (817) 573-2239
- NPI assigned
- Aug 26, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5101016668 | MI | |
| Obstetrics & Gynecology Physician | 207V00000X | 008805 | AZ | |
| Obstetrics & Gynecology Physician | 207V00000X | U3763 | TX | Primary |
Addresses
Primary practice location
1212 Medical Plaza CT
Granbury, TX 76048-5653
Mailing address
1212 Medical Plaza CT
Granbury, TX 76048-5653
Phone (817) 279-1776
Other practice location 1
8333 Felch St Ste 202
Zeeland, MI 49464-2609
Phone (616) 748-2850
Other practice location 2
2920 N 4th St
Flagstaff, AZ 86004-1816
Phone (928) 522-9400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Michigan State University College of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1212 Medical Plaza CT
Granbury, TX 76048-5653
Phone (817) 573-2211
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.53 of 100
- Quality
- 79.07
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008805 | AZ | MD | Obstetrics & Gynecology Physician |
| 5101016668 | MI | MD | Obstetrics & Gynecology Physician |
| U3763 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hood Medical Group | Current | Accepting new patients | |
| Hood Medical Group | Current | Accepting new patients | |
| Granbury Hospital Corporation | Past | Accepting new patients |
Locations
1212 Medical Plaza Ct
Granbury, TX 76048
Phone (817) 279-1776
1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273
950 Bluebonnet Dr
Stephenville, TX 76401
Phone (254) 968-1502
Interoperability endpoints
- brett.zimmerman.1@1293.direct.athenahealth.com
- brett.zimmerman@epic00.shdirect.org
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.
-
- Family Medicine Physician
- Granbury, TX
- NPI 1225096472
-
- Rural Health Clinic/Center
- Granbury, TX
- NPI 1386341535
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Granbury, TX
- NPI 1114998911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1770576571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485653",
"telephone_number": "817-279-1776",
"fax_number": "817-573-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 MEDICAL PLAZA CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485653",
"telephone_number": "817-279-1776",
"fax_number": "817-573-2239"
}
],
"practiceLocations": [
{
"address_1": "8333 Felch St Ste 202",
"address_purpose": "LOCATION",
"city": "Zeeland",
"state": "MI",
"postal_code": "494642609",
"country_code": "US",
"telephone_number": "616-748-2850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2920 N 4th St",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860041816",
"country_code": "US",
"telephone_number": "928-522-9400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMERMAN",
"first_name": "BRETT",
"middle_name": "THOMAS",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-26",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "5101016668",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AZ",
"license": "008805",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "U3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.