Individual provider Active NPI

Hillary Elizabeth Brunner, D.P.M.

  • Foot Surgery Podiatrist
  • Odessa, TX
National Provider Identifier
1992834261
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
1926 Issued in TX
Practice address
2903 Billy Hext Road
Odessa, TX 79765
Phone
(432) 550-3668
Fax
(432) 550-3671
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 1926 TX Primary

Addresses

Primary practice location

2903 Billy Hext Road
Odessa, TX 79765

Mailing address

15 Oasis
Odessa, TX 79765-8574
Phone (432) 550-3668

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
I20101210000797 TX Practitioner - Podiatry 2062503089 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

420 E 6TH St
Suite 203
Odessa, TX 79761-4572
Phone (432) 550-3668

Hospital & facility affiliations

  • Odessa Regional Medical Center Hospital, Odessa, TX, CCN 450661

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as individual
Quality
45.39
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue643
Removal of skin lesions91
Removal of nail tissue721
Removal or shaving of skin growth448
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
006218NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Basin Podiatry P a Foot Surgery CurrentSince Feb 18, 2013 Accepting new patients

Locations

2626 John Ben Shepperd Pkwy
Ste A100
Odessa, TX 79761
Phone (432) 333-2225

420 E 6th St
Ste 203
Odessa, TX 79761
Phone (432) 550-3668

2903 Billy Hext Rd
Odessa, TX 79765
Phone (432) 550-3668

Organizations & group practices 1

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 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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1992834261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OASIS",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658574",
            "telephone_number": "432-550-3668",
            "fax_number": "432-550-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 BILLY HEXT ROAD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "79765",
            "telephone_number": "432-550-3668",
            "fax_number": "432-550-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNNER",
        "first_name": "HILLARY",
        "middle_name": "ELIZABETH",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "TX",
            "license": "1926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.