DR. LISA DANIELLE BROSTROM MD, FACS
NPI 1124197173
Plastic Surgery in Fort Sam Houston, TX
NPI Status: Active since November 06, 2006
Contact Information
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX
ZIP 78234
Phone: (210) 269-6113
- Individual
- Female
- Plastic Surgery
- PECOS Enrolled
About LISA BROSTROM
This page provides the complete NPI Profile along with additional information for Lisa Brostrom, a provider established in Fort Sam Houston, Texas with a medical specialization in Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1124197173 assigned on November 2006. The practitioner's primary taxonomy code is 208200000X with license number L4266 (TX). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1124197173
- Provider Name
- DR. LISA DANIELLE BROSTROM MD, FACS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3551 ROGER BROOKE DR BLDG 3600 FORT SAM HOUSTON, TX 78234
- Location Phone
- (210) 269-6113
- Mailing Address
- 3551 ROGER BROOKE DR BLDG 3600 FORT SAM HOUSTON, TX 78234
- Mailing Phone
- (210) 269-6113
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-06-2006
- Last Update Date
- 09-12-2019
- Code Navigator
Location Map
Secondary Locations
- 5680 Guilford Ave
Indianapolis, IN 46220
(317) 536-5967
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Plastic Surgery
- Taxonomy Code
- 208200000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- L4266
- License State
- TX
- Taxonomy Description
- A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Medicare Participation & PECOS Enrollment Status
Lisa Brostrom is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 78234 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.92
- Minimum New Patient Price $54.84
- Maximum New Patient Price $166.88
- Average New Patient Copayment $21.23
- Minimum New Patient Copayment $13.71
- Maximum New Patient Copayment $41.72
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.55
- Minimum Established Patient Price $17.52
- Maximum Established Patient Price $136.11
- Average Established Patient Copayment $17.13
- Minimum Established Patient Copayment $4.38
- Maximum Established Patient Copayment $34.02
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1124197173, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SAN ANTONIO, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
SAN ANTONIO, TX 78234
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124197173, enumerated as an "individual" on November 06, 2006.
The provider is located at 3551 ROGER BROOKE DR BLDG 3600 FORT SAM HOUSTON, TX 78234 and the phone number is (210) 269-6113.
Plastic Surgery with taxonomy code 208200000X.
