Individual provider Active NPI

Brandon Scott Gilmore, DO

  • Emergency Medicine Physician
  • De Leon, TX
National Provider Identifier
1952404261
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
L2901 Issued in TX
Practice address
380 Highway 587
De Leon, TX 76444-6352
Phone
(254) 842-8604
NPI assigned
Sep 6, 2006
Last updated
Dec 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X L2901 TX Primary
Family Medicine Physician 207Q00000X L2901 TX

Addresses

Primary practice location

380 Highway 587
De Leon, TX 76444-6352

Mailing address

380 Highway 587
De Leon, TX 76444-6352
Phone (254) 842-8604

Other identifiers 1

IdentifierTypeStateIssuer
1740169-01MedicaidTX

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
I20040616000260 TX Practitioner - Emergency MedicinePractitioner - Family Practice 0345224671 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians
Acs Primary Care Physicians Southwest PAGroup PAC ID 1850204363, 188 clinicians
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians

Practice addresses (Care Compare)

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 672-8491

1501 Burnet Rd
Brownwood, TX 76801-8520
Phone (325) 646-8541

6200 W Parker Rd
Plano, TX 75093-8185
Phone (972) 981-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince May 4, 2019 Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 2, 2019 Accepting new patients
Texas Medicine Resources, LLP Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Stephens Memorial Hospital District CurrentSince Jun 2, 2019 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince May 4, 2019 Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Comanche County Consolidated Hospital District Past Accepting new patients
Hood Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients
Comanche County Medical Center Company Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients

Locations

6250 US Highway 83
Abilene, TX 79606
Phone (325) 428-3900

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

101 S Hartford St
Breckenridge, TX 76424
Phone (254) 559-3363

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148

304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601

1301 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 250-2000

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

3501 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 947-6361

200 E Arizona Ave
Sweetwater, TX 79556
Phone (325) 235-1701

Interoperability endpoints

  • Direct secure messaging: bgilmore@yourcarecommunity.org

Organizations & group practices 11

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 1

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1952404261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HIGHWAY 587",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764446352",
            "telephone_number": "254-842-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HIGHWAY 587",
            "city": "DE LEON",
            "state": "TX",
            "postal_code": "764446352",
            "telephone_number": "254-842-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILMORE",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "L2901",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L2901",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740169-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Leon, TX

Sources for this page

Verify at the official NPI Registry.