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MR. ROGER BRANDON DDS
NPI 1023135704
Dentist in San Antonio, TX

Active since March 26, 2007PECOS Enrolled
12991 POTRANCO RD STE 107, SAN ANTONIO, TX 78253(210) 455-1110(210) 455-1150 Get Directions Write a Review

NPPES record last updated: November 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2020, Oct 28, 2020 (2 updates tracked since 2020).

About Mr. Roger Brandon Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROGER BRANDON DDS (NPI 1023135704) is an individual dentist in San Antonio, Texas, licensed in Texas (21729) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023135704
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. ROGER BRANDONCredential: DDS
Location Address12991 POTRANCO RD STE 107San Antonio, TX 78253-7105
Mailing Address12991 Potranco Rd Ste 107San Antonio, TX 78253-7105 · (210) 455-1110 · Fax (210) 455-1150
Phone(210) 455-1110
Fax(210) 455-1150
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateNovember 6, 20202 updates tracked since enumeration
NPPES CertifiedNovember 6, 2020
✔ NPI 1023135704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 21729
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12991 POTRANCO RD STE 107, San Antonio, TX 78253
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Roger Brandon Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIVE STAR FAMILY DENTAL, PLLC
Clinic/Center (Dental)
12991 POTRANCO RD STE 107
SAN ANTONIO, TX 78253
Bexar County (210) 455-1110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roger Brandon's NPI number?

The NPI number for Roger Brandon is 1023135704. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Roger Brandon located?

Roger Brandon practices at 12991 Potranco Rd Ste 107, San Antonio, TX 78253. The listed phone number is (210) 455-1110.

What is Roger Brandon's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Roger Brandon enrolled in Medicare?

Yes. Roger Brandon is registered in the Medicare PECOS enrollment system.

What insurance does Roger Brandon accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Roger Brandon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roger Brandon was last updated on November 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.