Individual provider Active NPI

Christopher Walton Brennig, M.D.

  • Vascular Surgery Physician
  • Austin, TX
National Provider Identifier
1922103159
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
L5999 Issued in TX
Practice address
7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258
Phone
(512) 346-8346
Fax
(512) 346-8343
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X L5999 TX Primary

Addresses

Primary practice location

7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258

Mailing address

7000 North Mopac Expressway
Suite 320
Austin, TX 78731-3258
Phone (512) 346-8346

Other identifiers 1

IdentifierTypeStateIssuer
8BW995OtherTXBCBS

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
I20070302000426 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 7113029554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7000 N Mopac
Suite 320
Austin, TX 78731-3258
Phone (512) 346-2727

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5999TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Vascular Institute PA Vascular Surgery CurrentSince Jan 2, 2009 Accepting new patients
Capital Cardiothoracic Surgeons PA Past Accepting new patients

Locations

111 Stow Ave
Ste 200
Cuyahoga Fls, OH 44221

7000 N Mopac Expy
Ste 320
Austin, TX 78731
Phone (512) 346-2727

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236124800000",
    "number": "1922103159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC EXPRESSWAY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313258",
            "telephone_number": "512-346-8346",
            "fax_number": "512-346-8343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC EXPRESSWAY",
            "address_2": "SUITE 320",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313258",
            "telephone_number": "512-346-8346",
            "fax_number": "512-346-8343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNIG",
        "first_name": "CHRISTOPHER",
        "middle_name": "WALTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2009-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "L5999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8BW995",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.