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 Longview Regional 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, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kyle Brandon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Longview 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 enrollment system.
Is Kyle Brandon affiliated with any hospitals?
According to CMS data, Kyle Brandon is affiliated with 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 19 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 in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **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.