KYLE BRANDON MD
NPI 1407312234
Radiology - Diagnostic Radiology in Fort Worth, TX
About Kyle Brandon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE BRANDON MD (NPI 1407312234) is an individual diagnostic radiology provider in Fort Worth, Texas, licensed in Texas (V3563) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains a secondary practice location in Jbsa Lackland.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Brandon Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kyle Brandon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fort Worth, TX 76107
- Reassigned Medicare billing, Texas and Arkansas enrollments
- Also billed through NPI 1710970975 (Arkansas)
- 445 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXLongview Regional Medical Center
Acute Care Hospitals · Longview, TXChristus St Michael Health System
Acute Care Hospitals · Texarkana, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76104
FORT WORTH, TX 76104
FORT WORTH, TX 76104
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 Kyle Brandon's NPI number?
The NPI number for Kyle Brandon is 1407312234. It was assigned to this individual provider in the NPPES registry on February 18, 2019.
Where is Kyle Brandon located?
Kyle Brandon practices at 815 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (817) 321-0404.
What is Kyle Brandon's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Kyle Brandon enrolled in Medicare?
Yes. Kyle Brandon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kyle Brandon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kyle Brandon reassigns Medicare benefits to Radiology Associates Of North Texas, PA (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kyle Brandon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kyle Brandon affiliated with any hospitals?
According to CMS data, Kyle Brandon is affiliated with Christus Good Shepherd Medical Center, Longview Regional Medical Center and Christus St Michael Health System.
When was this NPI record last updated?
The NPPES record for Kyle Brandon was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Kyle Brandon, MD · NPI 1407312234
Diagnostic Radiology physician in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since February 18, 2019.
## Identity
- **NPI:** 1407312234 (Entity type: Individual)
- **Enumerated:** February 18, 2019
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** V3563 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 815 PENNSYLVANIA AVE, Fort Worth, TX 76104-2294
- **Phone:** (817) 321-0404
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Radiology Associates Of North Texas, PA (NPI 1861782740, Fort Worth, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** East Tennessee State University Quillen College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1407312234) · Data from the CMS NPPES public registry.