Individual provider Active NPI

Michelle L Brochner, MD

  • Ophthalmology Physician
  • Plano, TX
National Provider Identifier
1962401273
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
201060956 Issued in TX
Practice address
4708 Alliance Blvd Ste 825
Plano, TX 75093-5338
Phone
(972) 596-1300
Fax
(972) 596-1349
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 201060956 TX Primary

Addresses

Primary practice location

4708 Alliance Blvd Ste 825
Plano, TX 75093-5338

Mailing address

4708 Alliance Blvd Ste 825
Plano, TX 75093-5338
Phone (972) 596-1300

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
I20040806000952 TX Practitioner - Ophthalmology 6507837101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Texas Tech University Health Science Center School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1800 Preston Park Blvd
Suite 121
Plano, TX 75093-3690
Phone (972) 596-1300

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M.L. Brochner, M.D., P.C. Visual Images Ophthalmology CurrentSince Jul 1, 2004 Accepting new patients
Marshall Health Services Inc PastSince Sep 1, 2009 Accepting new patients
Counseling and Psychological Services of East Texas, PC Past Accepting new patients

Locations

201 W Grand Ave
Marshall, TX 75670
Phone (903) 927-6941

4708 Alliance Blvd
Ste 825
Plano, TX 75093
Phone (903) 927-6941

1800 Preston Park Blvd
Ste 121
Plano, TX 75093
Phone (972) 596-1300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1962401273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935338",
            "telephone_number": "972-596-1300",
            "fax_number": "972-596-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD STE 825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935338",
            "telephone_number": "972-596-1300",
            "fax_number": "972-596-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCHNER",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "201060956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.