Individual provider Active NPI

Brenda Watkins, MD

  • Dermatology Physician
  • Dripping Springs, TX
National Provider Identifier
1871904607
Registry record updated Apr 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R6934 Issued in TX
Practice address
170 Benney LN Ste 203
Dripping Springs, TX 78620
Phone
(512) 444-7208
Fax
(512) 444-2277
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2019

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 R6934 TX Primary

Addresses

Primary practice location

170 Benney LN Ste 203
Dripping Springs, TX 78620

Mailing address

4419 Frontier TRL Ste 110
Austin, TX 78745-1567
Phone (512) 444-7208

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
I20180724002711 TX Practitioner - Dermatology 1557660198 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Skin and Vein Center PLLCGroup PAC ID 9133429715, 8 clinicians

Practice addresses (Care Compare)

14008 Shadowglen Blvd
Suite 200
Manor, TX 78653-3406
Phone (512) 444-7208

211 B N FM
1626 Suite 1a
Buda, TX 78610-3859
Phone (737) 717-3244

249 Sportsplex Dr
Suite 210
Dripping Springs, TX 78620-2350
Phone (512) 444-7208

4419 Frontier TRL
Suite 110
Austin, TX 78745-1567

Merit-based Incentive Payment System (MIPS)

Final score
93.72 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
79.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions1455
Removal or shaving of skin growth13
Skin biopsy346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R6934TXMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin and Vein Center PLLC Dermatology CurrentSince Aug 1, 2018 Accepting new patients
Southwest Skin & Cancer Clinic, P.a. Dermatology PastSince Jun 13, 1994 Accepting new patients

Locations

4419 Frontier Trl
Ste 110
Austin, TX 78745
Phone (512) 654-8100

4544 S Lamar Blvd
Ste 640
Austin, TX 78745

170 Benney Ln
Ste 203
Dripping Springs, TX 78620
Phone (512) 298-1645

249 Sportsplex Dr
Ste 210
Dripping Springs, TX 78620

14008 Shadowglen Blvd
Ste 200
Manor, TX 78653

Interoperability endpoints

  • Direct secure messaging: bwatkins@southwestskin.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1871904607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 FRONTIER TRL STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451567",
            "telephone_number": "512-444-7208",
            "fax_number": "512-444-2343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BENNEY LN STE 203",
            "city": "DRIPPING SPRINGS",
            "state": "TX",
            "postal_code": "78620",
            "telephone_number": "512-444-7208",
            "fax_number": "512-444-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "BRENDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "R6934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dripping Springs, TX

Sources for this page

Verify at the official NPI Registry.