Brazos Foot and Ankle Clinic P.a.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

BRAZOS FOOT AND ANKLE CLINIC P.A.

Practice address

1201 Medical Plaza CT
Granbury, TX 76048-5684

Phone

(817) 578-8555

Fax

(817) 573-6234

NPI assigned

Jul 13, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shannon Ray MuellerNPI 1528066255

Title

D.P.M.

Phone

(817) 578-8555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shannon Ray Mueller, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Granbury, TX
  • NPI 1528066255
  Medicare reassignment NPD Authorized official
• H William Ranelle, DO

  • Ophthalmology Physician
  • Fort Worth, TX
  • NPI 1831192046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851399893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PLAZA CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485684",
            "telephone_number": "817-578-8555",
            "fax_number": "817-573-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MEDICAL PLAZA CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485684",
            "telephone_number": "817-578-8555",
            "fax_number": "817-573-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS FOOT AND ANKLE CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MUELLER",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "D.P.M.",
        "authorized_official_telephone_number": "817-578-8555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Branch, DNP, FNP-C
• Justin W Brassie, D.C.
• Kenneth Paul Brassie, D.C.
• Ashley Brawner, PT, DPT
• Brazos Emergency Medicine Associates, PA
• Brazos Physician Services, PA
• Brazos Urology Clinic P a
• Porchae Brisby, NP
• Crissie Alayne Brock, P.A.- C
• Heather Renae Brogan-McCarty, LPC

• Podiatrist in Granbury, TX
• Providers in Granbury, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.