MR. BRANT ALEXANDER VICTOR (NPI# 1871982645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871982645 |
Entity Type | Individual |
Full Name | MR. BRANT ALEXANDER VICTOR |
Credential | MPAS, PA-C |
Practice Address |
1301 W 38th St Medical Park Tower, Suite 102 Austin TX 78705-1000 |
Mailing Address |
4515 Seton Center Parkway Suite 215-credentialing Austin TX 78759-5785 |
Practice Telephone | 5124544561 |
Practice Fax Number | 5124067330 |
Mailing Telephone | 5122315516 |
Mailing Fax Number | 5124066216 |
Enumeration Date | 2015-01-16 |
Last Update Date | 2015-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 350518201 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184653321 | Brant Edward Victor | Surgery | 3901 Medical Pkwy, Suite 200, Austin, TX 78756-4027 | 2006-07-01 |
Street Address |
1301 W 38TH ST MEDICAL PARK TOWER, SUITE 102 |
City | AUSTIN |
State | TX |
Zip Code | 78705-1000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982601274 | Jeffrey Neal Kocurek | Urology | 1301 W 38th St, Ste. #200, Austin, TX 78705-1000 | 2005-07-01 |
1306372446 | Rebekah Mynatt Summey | Obstetrics & Gynecology | 1301 W 38th St, Suite 705, Austin, TX 78705 | 2017-05-11 |
1912433707 | Maura Ruby Ronquillo | Obstetrics & Gynecology | 1301 W 38th St, Suite 705, Austin, TX 78705-1000 | 2017-05-11 |
1740729615 | Amanda Marek | Nurse Practitioner | 1301 W 38th St, Suite 514, Austin, TX 78705-1000 | 2017-02-13 |
1053853176 | Marcia Lea O'brien | Nurse Practitioner | 1301 W 38th St, Suite 200, Austin, TX 78705-1000 | 2016-11-07 |
1275084881 | Steven Louis Rosenthal | Physician Assistant | 1301 W 38th St, Mpt, Suite 113, Austin, TX 78705-1000 | 2016-10-18 |
1407219496 | Pamela Chesher | Nurse Practitioner | 1301 W 38th St, Suite 514, Austin, TX 78705-1000 | 2016-03-29 |
1235507757 | Stephanie Targac Cortes | Nurse Practitioner | 1301 W 38th St, Suite 400, Austin, TX 78705-1000 | 2015-09-15 |
1821479320 | Arjina Pradhan | Nurse Practitioner | 1301 W 38th St, Suite 400, Austin, TX 78705-1000 | 2015-06-10 |
1801283734 | Rebecca Cox | Nurse Practitioner | 1301 W 38th St, Suite 514, Austin, TX 78705-1000 | 2015-04-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740894559 | Ben Aviel | Specialist/Technologist | 2501 Leon, Austin, TX 78705 | 2020-08-31 |
1700408739 | Julie Marie Dorland | Obstetrics & Gynecology | Ut Austin Dell Medical School Obgyn Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2020-05-13 |
1952941155 | Oluwakemi Yemi-ese | Counselor | 2717 Rio Grande Street, Austin, TX 78705 | 2020-01-15 |
1285272765 | Lisa K Wheeler | Counselor | 2520 Longivew Street, Suite 313, Austin, TX 78705 | 2019-12-16 |
1033767637 | Olivia May Neel | Specialist/Technologist | 620 West 24th Street, 208a, Austin, TX 78705 | 2019-08-28 |
1336795202 | Grace Evelyn Martin | Specialist/Technologist | University of Texas, 110 Inner Campus Drive, Austin, TX 78705 | 2019-08-15 |
1801450317 | Nicole Buchele | Obstetrics & Gynecology | Ut Austin Dell Medical School-obgyn, Medical Park Tower, 1301 W 38th St, Suite 705, Austin, TX 78705 | 2019-04-30 |
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1841797636 | Corbin Anne Weaver | Obstetrics & Gynecology | Medical Park Tower, 1301 W. 38th St., Suite 705, Austin, TX 78705 | 2018-04-09 |
1740707892 | Christine Marie Falk | Specialist/Technologist | 2810 Hemphill Park, Apt 211, Austin, TX 78705 | 2017-08-29 |
Find all providers in zip 78705 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124502794 | Joan Margaret Carroll | Physician Assistant | 3000 N, I-35, Suite 600, Austin, TX 78705 | 2018-09-19 |
1962988329 | Aucutt Surgical Services, Pllc | Physician Assistant | 6705 Melava Ct, Austin, TX 78749-6924 | 2018-07-18 |
1114307907 | Facilitate Surgical, Pllc | Physician Assistant | 2110 W Slaughter Ln Ste 107, #395, Austin, TX 78748-5978 | 2015-06-05 |
1265834220 | Heidi Burns | Physician Assistant | 3201 Esperanza Xing, Apt 237, Austin, TX 78758-7858 | 2014-09-22 |
1861812273 | Deborah Louise Sheffield | Physician Assistant | 13333 Black Canyon Dr, Austin, TX 78729-7482 | 2014-04-24 |
1508102559 | Gator Pa 1st Assist, LLC | Physician Assistant | 10900 Stonelake Blvd Ste A-320, Austin, TX 78759-5833 | 2012-12-19 |
1972853596 | Gileana Santana | Physician Assistant | 2200 Park Bend Drive, Bldg 2, Suite 201, Austin, TX 78758 | 2012-09-11 |
1952698524 | Sarah Marie Elmer | Physician Assistant | 6818 Austin Center Blvd Ste 204, Austin, TX 78731-3100 | 2011-07-05 |
1811221617 | Ryan Douglas Lester | Physician Assistant | 4611 Guadalupe Street, Suite 200, Austin, TX 78704 | 2009-09-25 |
1710150958 | Lauren Murdock Aseron | Physician Assistant | 6500 Mopac Expwy, Ste. 2207, Austin, TX 78731-4306 | 2008-04-09 |
Find all providers in AUSTIN |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.