BRANDON MILLS MD
NPI 1629773940
Student in an Organized Health Care Education/Training Program in Fort Worth, TX

Q: What is Brandon Mills's NPI number?

The NPI number for Brandon Mills is 1629773940. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Q: What is Brandon Mills's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Brandon Mills was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since April 04, 2023PECOS Enrolled

1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104(405) 512-7721 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 28, 2025, Sep 19, 2024, Apr 4, 2023 (3 updates tracked since 2023).

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About Brandon Mills Md NPPES

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

BRANDON MILLS MD (NPI 1629773940) is an individual student in an organized health care education/training program in Fort Worth, Texas, licensed in Texas (V2792) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629773940

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRANDON MILLSCredential: MD

Location Address1301 PENNSYLVANIA AVEFort Worth, TX 76104-2122

Mailing Address3201 Springhill Dr Ste 100North Little Rock, AR 72117-2905 · (501) 955-4530

Phone(405) 512-7721

Sole ProprietorYes

Enumeration DateApril 4, 2023

Last NPPES UpdateMarch 28, 20253 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1629773940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in TX · V2792

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License V2792 (TX)

1301 PENNSYLVANIA AVE, Fort Worth, TX 76104

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brandon Mills Md 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.

DR. HEIDI DANIELLE TOMLINSON M.D.

Pediatrics

1301 PENNSYLVANIA AVE, DEPARTMENT OF NEONATOLOGY
FORT WORTH, TX 76104

Tarrant County (817) 250-2892

RICARDO VILLARREAL JR. MD

Internal Medicine