Active NPI
Brian Henry Mahon, MD
- Diagnostic Radiology Physician
- Galveston, TX
National Provider Identifier
1790128197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 82459
- Practice address
- 301 University Blvd
Galveston, TX 77555 - Phone
- (409) 747-2849
- Fax
- (409) 772-7120
- NPI assigned
- Apr 16, 2013
- Reactivated
- Jul 24, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Diagnostic Radiology Physician | 2085R0202X | 82459 | SC | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555
Mailing address
301 University Blvd
Galveston, TX 77555-0709
Phone (409) 747-2849
Other practice location 1
1215 Lee St
Box 800719
Charlottesville, VA 22908-0816
Phone (434) 924-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190819001442 | SC | Practitioner - Diagnostic Radiology | 2769611565 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.62 of 100
- Quality
- 79.55
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82459 | SC | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563926400000",
"number": "1790128197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775550709",
"telephone_number": "409-747-2849",
"fax_number": "409-772-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "77555",
"telephone_number": "409-747-2849",
"fax_number": "409-772-7120"
}
],
"practiceLocations": [
{
"address_1": "1215 Lee St",
"address_2": "Box 800719",
"address_purpose": "LOCATION",
"city": "Charlottesville",
"state": "VA",
"postal_code": "229080816",
"country_code": "US",
"telephone_number": "434-924-2150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAHON",
"first_name": "BRIAN",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2019-07-24",
"deactivation_date": "2019-06-21",
"reactivation_date": "2019-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "SC",
"license": "82459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.