Individual provider Active NPI

Brian Conley, DPM

  • Foot & Ankle Surgery Podiatrist
  • Shenandoah, TX
National Provider Identifier
1932453917
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2151 Issued in TX
Practice address
9191 Pinecroft Dr.
Suite 225
Shenandoah, TX 77380-2807
Phone
(281) 909-7722
Fax
(281) 909-7733
NPI assigned
Oct 30, 2012
Last updated
Jun 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 59.000433 OH
Foot & Ankle Surgery Podiatrist 213ES0103X 2151 TX Primary

Addresses

Primary practice location

9191 Pinecroft Dr.
Suite 225
Shenandoah, TX 77380-2807

Mailing address

9191 Pinecroft Dr.
Suite 225
Shenandoah, TX 77380-2807
Phone (281) 909-7722

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150630001496 TX Practitioner - Podiatry 8527370881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MBV PLLCGroup PAC ID 2860636446, 18 clinicians

Practice addresses (Care Compare)

11613 N Central Expy
Suite 121
Dallas, TX 75243-3842
Phone (281) 909-7722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue42
Removal of nail tissue477
Removal or shaving of skin growth32
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59.000433OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
MBV PLLC CurrentSince Jul 1, 2015 Accepting new patients
MBV PLLC Foot & Ankle Surgery CurrentSince Jul 1, 2015 Accepting new patients
Fas of TW LLC Foot & Ankle Surgery CurrentSince Jan 22, 2025 Accepting new patients

Locations

11613 N Central Expy
Ste 121
Dallas, TX 75243
Phone (214) 691-0760

11511 Katy Fwy
Ste 535
Houston, TX 77079
Phone (281) 600-5000

227 State Highway 75 N
Ste 150
Huntsville, TX 77320

640 Interstate 45 S
Huntsville, TX 77340
Phone (936) 228-3992

9191 Pinecroft Dr
Ste 100
Shenandoah, TX 77380
Phone (866) 680-9355

9191 Pinecroft Dr
Ste 130
Shenandoah, TX 77380

9191 Pinecroft Dr
Ste 225
Shenandoah, TX 77380
Phone (281) 404-3666

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

Interoperability endpoints

  • Direct secure messaging: alleviotexas.brianconley@161097.advancedmd-direct.com
  • Direct secure messaging: drconley@faasotw-tx.direct.office.nextgen.com

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.

Hospital & facility affiliations 6

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": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1932453917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR.",
            "address_2": "SUITE 225",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802807",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 PINECROFT DR.",
            "address_2": "SUITE 225",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773802807",
            "telephone_number": "281-909-7722",
            "fax_number": "281-909-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONLEY",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "59.000433",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shenandoah, TX

Sources for this page

Verify at the official NPI Registry.