Individual provider Active NPI

Brett Thomas Zimmerman, DO

  • Obstetrics & Gynecology Physician
  • Granbury, TX
National Provider Identifier
1770576571
Registry record updated Jul 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
U3763 Issued in TX
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

Updated by the provider on Jul 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725001088 TX Practitioner - Obstetrics/Gynecology 3476537085 Reassigns benefits to 1 organization

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
Hood Medical GroupGroup PAC ID 2567446669, 56 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
008805AZMDObstetrics & Gynecology Physician
5101016668MIMDObstetrics & Gynecology Physician
U3763TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hood Medical Group CurrentSince Aug 1, 2023 Accepting new patients
Hood Medical Group CurrentSince Aug 1, 2023 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

  • Direct secure messaging: brett.zimmerman.1@1293.direct.athenahealth.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.