Individual provider Active NPI

Bridget Anne O'Brien, D.O.

  • Surgical Oncology Physician
  • Cedar Park, TX
National Provider Identifier
1841478674
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
R3390 Issued in TX
Practice address
1401 Medical Pkwy , Building C, Ste 200
Cedar Park, TX 78613-5015
Phone
(512) 260-6050
Fax
(512) 605-6330
NPI assigned
Feb 4, 2008
Last updated
Jul 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X R3390 TX
Surgical Oncology Physician 2086X0206X R3390 TX Primary

Addresses

Primary practice location

1401 Medical Pkwy , Building C, Ste 200
Cedar Park, TX 78613-5015

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

3110 MacCorkle Ave, SE
Charleston, WV 25304
Phone (304) 388-6355

Other practice location 2

3110 MacCorkle Ave, SE
Charleston, WV 25304
Phone (304) 388-6355

Other identifiers 2

IdentifierTypeStateIssuer
373261202MedicaidTX
373261201MedicaidTX

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
I20170809001604 TX Practitioner - Surgical Oncology 5597986034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
West Virginia School of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

4101 James Casey St
Suite 100
Austin, TX 78745-1145
Phone (512) 447-2202

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy57
Melanoma (skin cancer) excision26
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R3390TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Surgery CurrentSince Jul 1, 2017 Accepting new patients
Texas Oncology PA Surgery CurrentSince Jul 1, 2017 Accepting new patients

Locations

12221 Renfert Way
Ste 300
Austin, TX 78758
Phone (512) 873-8900

4101 James Casey St
Ste 100
Austin, TX 78745
Phone (512) 447-2202

1401 Medical Pkwy
Ste 200
Cedar Park, TX 78613
Phone (512) 260-1581

1401 Medical Pkwy
Ste 200C
Cedar Park, TX 78613

1401 Medical Pkwy
Ste 412
Cedar Park, TX 78613
Phone (512) 260-6050

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

1500 Rivery Blvd
Ste 2215
Georgetown, TX 78628
Phone (512) 687-2300

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

Interoperability endpoints

  • Direct secure messaging: bridget.obrien@txo.ikm.direct-ci.com

Organizations & group practices 2

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 5

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": "1202083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1841478674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 MEDICAL PKWY , BUILDING C, STE 200",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135015",
            "telephone_number": "512-260-6050",
            "fax_number": "512-605-6330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 MacCorkle Ave, SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25304",
            "country_code": "US",
            "telephone_number": "304-388-6355",
            "fax_number": "304-388-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3110 MacCorkle Ave, SE",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "25304",
            "country_code": "US",
            "telephone_number": "304-388-6355",
            "fax_number": "304-388-6009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'BRIEN",
        "first_name": "BRIDGET",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-04",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "R3390",
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "TX",
            "license": "R3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373261202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373261201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

Verify at the official NPI Registry.