NPIMap

Individual provider Active NPI

Brian Rick Seabolt, M.D.

  • Orthopaedic Surgery Physician
  • Bryan, TX
National Provider Identifier
1972577708
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L1736 Issued in TX
Practice address
3121 University Dr E Ste 100
Bryan, TX 77802-3499
Phone
(979) 776-0169
Fax
(979) 776-1372
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L1736 TX
Orthopaedic Surgery Physician 207X00000X L1736 TX Primary

Addresses

Primary practice location

3121 University Dr E Ste 100
Bryan, TX 77802-3499

Mailing address

3121 University Dr E Ste 100
Bryan, TX 77802-3499
Phone (979) 776-0169

Other identifiers 1

IdentifierTypeStateIssuer
144373102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000742 TX Practitioner - Orthopedic Surgery 3870624307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Mississippi School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3121 University Dr E
100 Central Texas Sports Medicine and Ort
Bryan, TX 77802-3499
Phone (979) 776-0169

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement17
Knee replacement43
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Brazos Valley Physicians Alliance CurrentSince Jul 1, 2020 Accepting new patients
Brazos Valley Physicians Alliance Orthopaedic Surgery CurrentSince Jul 1, 2020 Accepting new patients

Locations

3201 University Dr E
Ste 3
Bryan, TX 77802
Phone (979) 704-5029

3121 University Dr E
Ste 100
Bryan, TX 77802
Phone (979) 776-0169

Interoperability endpoints

  • Direct secure messaging: bseabolt@yourcarecommunity.org
  • Direct secure messaging: brian.seabolt.1@25466.direct.athenahealth.com

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.

Hospital & facility affiliations 8

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1972577708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY DR E STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023499",
            "telephone_number": "979-776-0169",
            "fax_number": "979-776-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 UNIVERSITY DR E STE 100",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778023499",
            "telephone_number": "979-776-0169",
            "fax_number": "979-776-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEABOLT",
        "first_name": "BRIAN",
        "middle_name": "RICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L1736",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L1736",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144373102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.