Individual provider Active NPI

Braden Coleman, MD

  • Family Medicine Physician
  • Victoria, TX
National Provider Identifier
1780033043
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S9279 Issued in TX
Practice address
102 Springwood Dr
Victoria, TX 77904-3501
Phone
(361) 576-2222
NPI assigned
Jun 8, 2016
Last updated
Jun 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S9279 TX Primary

Addresses

Primary practice location

102 Springwood Dr
Victoria, TX 77904-3501

Mailing address

102 Springwood Dr
Victoria, TX 77904-3501
Phone (361) 576-2222

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
I20210302002924 TX Practitioner - Family Practice 4284960956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Regional Health Center LLPGroup PAC ID 3870493083, 6 clinicians

Practice addresses (Care Compare)

102 Springwood Dr
Victoria, TX 77904-3501
Phone (361) 576-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299930NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
American Regional Health Center LLP Family Medicine CurrentSince Feb 1, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Victoria of Texas LP Past Accepting new patients

Locations

102 Springwood Dr
Victoria, TX 77904
Phone (361) 576-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDHIAA

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1780033043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SPRINGWOOD DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043501",
            "telephone_number": "361-576-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SPRINGWOOD DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779043501",
            "telephone_number": "361-576-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "BRADEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S9279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.