Individual provider Active NPI

Julie Sracic Brantley, MD

  • Dermatology Physician
  • Sugar Land, TX
National Provider Identifier
1952505547
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
M2910 Issued in TX
Practice address
2225 Williams Trace Blvd
#112
Sugar Land, TX 77478-4513
Phone
(281) 313-0006
Fax
(281) 265-3393
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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 M2910 TX Primary

Addresses

Primary practice location

2225 Williams Trace Blvd
#112
Sugar Land, TX 77478-4513

Mailing address

15200 Southwest Fwy
Ste 150
Sugar Land, TX 77478-3843
Phone (281) 240-4313

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
I20090831000469 TX Practitioner - Dermatology 2860547668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical Branch at Galveston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael Sonabend MD PAGroup PAC ID 6901045665, 28 clinicians

Practice addresses (Care Compare)

508 Medical Ctr Blvd
Suite 380
Conroe, TX 77304-2954
Phone (281) 240-4313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions871
Removal or shaving of skin growth170
Skin biopsy41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Sonabend M.D., P.a. Dermatology CurrentSince Apr 1, 2018 Accepting new patients
Complete Labs PLLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

17191 St Lukes Way
Ste 210
Conroe, TX 77384
Phone (281) 573-8333

508 Medical Center Blvd
Ste 380
Conroe, TX 77304
Phone (281) 240-4313

134 Vision Park Blvd
Ste 200
Shenandoah, TX 77384
Phone (281) 573-8333

7616 Branford Pl
Ste 240
Sugar Land, TX 77479
Phone (281) 240-4313

15200 Southwest Fwy
Ste 150
Sugar Land, TX 77478
Phone (281) 240-4313

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1952505547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY",
            "address_2": "STE 150",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783843",
            "telephone_number": "281-240-4313",
            "fax_number": "281-240-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "#112",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784513",
            "telephone_number": "281-313-0006",
            "fax_number": "281-265-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANTLEY",
        "first_name": "JULIE",
        "middle_name": "SRACIC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "M2910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.