Individual provider Active NPI

Keith Alan Bravenec, O.D.

  • Optometrist
  • Katy, TX
National Provider Identifier
1821288366
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7082TG Issued in TX
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

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120803000536 TX Practitioner - Optometry 0345496584 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitsett Vision Group PLLC Optometrist CurrentSince Jul 18, 2025 Accepting new patients
University of the Incarnate Word Optometrist PastSince Aug 14, 2022 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

  • Direct secure messaging: keith.bravenecod.p1@direct.whitsettvision.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.