MICHAEL BRANDON VAUGHAN DO
NPI 1487597175
Student in an Organized Health Care Education/Training Program in San Angelo, TX

Active since April 09, 2026PECOS Enrolled
3555 KNICKERBOCKER RD, SAN ANGELO, TX 76904(817) 991-1910 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Michael Brandon Vaughan Do NPPES

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

MICHAEL BRANDON VAUGHAN DO (NPI 1487597175) is an individual student in an organized health care education/training program in San Angelo, Texas and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487597175
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL BRANDON VAUGHANCredential: DO
Location Address3555 KNICKERBOCKER RDSan Angelo, TX 76904-7610
Mailing Address3555 Knickerbocker RdSan Angelo, TX 76904-7610
Sole ProprietorNo
Enumeration DateApril 9, 2026
NPPES CertifiedApril 9, 2026
NPI 1487597175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3555 KNICKERBOCKER RD, San Angelo, TX 76904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Michael Brandon Vaughan Do 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.

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.

Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Pediatrics
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Nurse Practitioner (Family)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Student in an Organized Health Care Education/Training Program
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Counselor (Professional)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychologist
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904
Psychiatry & Neurology (Neurology)
3555 KNICKERBOCKER RD
SAN ANGELO, TX 76904

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 Michael Vaughan's NPI number?

The NPI number for Michael Vaughan is 1487597175. It was assigned to this individual provider in the NPPES registry on April 9, 2026.

Where is Michael Vaughan located?

Michael Vaughan practices at 3555 Knickerbocker Rd, San Angelo, TX 76904. The listed phone number is (817) 991-1910.

What is Michael Vaughan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Michael Vaughan enrolled in Medicare?

Yes. Michael Vaughan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Vaughan was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.