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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Brandon Mills reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
32 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3117
JANA MITCHELL RNC
Registered Nurse (Neonatal Intensive Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
STACY LYNN ROSEBROOK APRN, NNP-BC
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-3120
JESSE BURNETT PHARMD
Pharmacist
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 250-2000
ALLYSON CLAIRE MURRAY MSN, RNC, NNP
Nurse Practitioner (Neonatal)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2000
MS. PATRICIA L. GILLUM CRNA
Nurse Anesthetist, Certified Registered
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-3680
EMILY SUE WOOD RNC, NNP
Nurse Practitioner (Neonatal, Critical Care)
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104
Tarrant County (817) 882-2892

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 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.

Where is Brandon Mills located?

Brandon Mills practices at 1301 Pennsylvania Ave, Fort Worth, TX 76104. The listed phone number is (405) 512-7721.

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.

Is Brandon Mills enrolled in Medicare?

Yes. Brandon Mills is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brandon Mills's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Mills reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, 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 Brandon Mills's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 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.