Individual provider Active NPI

Donald Jeffrey Brown, DO

  • Dermatology Physician
  • Granbury, TX
National Provider Identifier
1861555237
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
K6817 Issued in TX
Practice address
1321 Waters Edge Dr Ste 1006
Granbury, TX 76048-1234
Phone
(817) 573-1800
Fax
(817) 573-8601
NPI assigned
Dec 18, 2006
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X K6817 TX Primary

Addresses

Primary practice location

1321 Waters Edge Dr Ste 1006
Granbury, TX 76048-1234

Mailing address

1321 Waters Edge Dr Ste 1006
Granbury, TX 76048-1234
Phone (817) 573-1800

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
I20091110000683 TX Practitioner - Dermatology 9133267230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1321 Waters Edge Dr
Suite 1006
Granbury, TX 76048-1234
Phone (817) 573-1800

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision35
Removal of skin lesions1083
Skin biopsy211

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6817TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayside Dermatology PA Dermatology CurrentSince Oct 1, 2009 Accepting new patients
Comprehensive Chiropractic PA PastSince Nov 15, 2005 Accepting new patients
Clovis Dermatology PA Past Accepting new patients

Locations

1321 Waters Edge Dr
Ste 1003
Granbury, TX 76048
Phone (817) 573-0500

1321 Waters Edge Dr
Ste 1006
Granbury, TX 76048
Phone (817) 573-1800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1861555237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 WATERS EDGE DR STE 1006",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481234",
            "telephone_number": "817-573-1800",
            "fax_number": "817-573-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 WATERS EDGE DR STE 1006",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760481234",
            "telephone_number": "817-573-1800",
            "fax_number": "817-573-8601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "DONALD",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K6817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.