Active NPI
Keith Alan Bravenec, O.D.
- Optometrist
- Katy, TX
National Provider Identifier
1821288366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7082TG
- Practice address
- 10605 Spring Green Blvd
Suite 400
Katy, TX 77494 - Phone
- (713) 416-0265
- NPI assigned
- Jul 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7082TG | TX | Primary |
Addresses
Primary practice location
10605 Spring Green Blvd
Suite 400
Katy, TX 77494
Mailing address
27410 Wooded Canyon Dr
Katy, TX 77494
Phone (713) 416-0265
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitsett Vision Group PLLC | Optometrist | Current | Accepting new patients |
| University of the Incarnate Word | Optometrist | Past | Accepting new patients |
| Jeffrey C Whitsett MD | Optometrist | Past | Accepting new patients |
Locations
1237 Campbell Rd
Houston, TX 77055
Phone (713) 365-9099
23510 Kingsland Blvd
Ste 200
Katy, TX 77494
Phone (713) 365-9099
Interoperability endpoints
- keith.bravenecod.p1@direct.whitsettvision.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- kbravenec@whitsettmd.intellechartdirect.net
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Houston, TX
- NPI 1528142825
-
- Optometrist
- San Antonio, TX
- NPI 1003129784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1821288366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27410 WOODED CANYON DR",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "713-416-0265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 SPRING GREEN BLVD",
"address_2": "SUITE 400",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "713-416-0265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAVENEC",
"first_name": "KEITH",
"middle_name": "ALAN",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7082TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.