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DR. BRANDON COLT CLYBURN D.D.S.
NPI 1619104759
Oral & Maxillofacial Surgery in College Station, TX

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
1505 EMERALD PLZ, COLLEGE STATION, TX 77845(979) 764-7101 Get Directions Write a Review

NPPES record last updated: April 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 30, 2019, Jan 27, 2016 (2 updates tracked since 2016).

About Dr. Brandon Colt Clyburn D.d.s. NPPES

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

DR. BRANDON COLT CLYBURN D.D.S. (NPI 1619104759) is an individual oral & maxillofacial surgery provider in College Station, Texas, licensed in Texas (24644) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of The Dental School At University Of Texas Hsc At San Antonio (2009).

NPPES Registry Identity

NPI1619104759
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. BRANDON COLT CLYBURNCredential: D.D.S.
Location Address1505 EMERALD PLZCollege Station, TX 77845-1501
Mailing Address1505 Emerald PlzCollege Station, TX 77845-1501 · (979) 764-7101
Phone(979) 764-7101
Sole ProprietorNo
Medical School CMSThe Dental School At University Of Texas Hsc At San AntonioGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateApril 30, 20192 updates tracked since enumeration
✔ NPI 1619104759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 24644
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1505 EMERALD PLZ, College Station, TX 77845
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas 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 and accepts Medicare assignment

Dr. Brandon Colt Clyburn D.d.s. 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.

PECOS PAC ID2567778772
PECOS Enrollment IDI20190618001614
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
21 services21 patients
X-ray of lower jaws, upper jaws and teeth 70355
An X-ray of lower jaws, upper jaws, and teeth is a diagnostic procedure that uses radiation to create images of these areas. This helps in identifying issues like tooth decay, gum problems, or jawbone irregularities. It's a quick, painless process and crucial for maintaining oral health.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services13 patients

Other Providers at the Same Location NPPES 4

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

DR. CHARLES CALVIN HANLEY D.D.S.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
BRENT T. BLACK DDS
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. JAMES BRYAN GARRETT DDS MD
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101
DR. GARRETT BLUNDELL D.D.S., M.D.
Dentist (Oral and Maxillofacial Surgery)
1505 EMERALD PLZ
COLLEGE STATION, TX 77845
Brazos County (979) 764-7101

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 Brandon Clyburn's NPI number?

The NPI number for Brandon Clyburn is 1619104759. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Brandon Clyburn located?

Brandon Clyburn practices at 1505 Emerald Plz, College Station, TX 77845. The listed phone number is (979) 764-7101.

What is Brandon Clyburn's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Brandon Clyburn enrolled in Medicare?

Yes. Brandon Clyburn 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.

What insurance does Brandon Clyburn accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian list Brandon Clyburn 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 Brandon Clyburn was last updated on April 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.