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BRIANNA SOUDER DO
NPI 1780115618
Pediatrics - Pediatric Cardiology in Tyler, TX

Active since March 22, 2017PECOS Enrolled
909 E SE LOOP 323 STE 360, TYLER, TX 75701(903) 393-3169(903) 508-6154 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2024, Feb 6, 2022, Mar 22, 2017 (3 updates tracked since 2017).

About Brianna Souder Do NPPES

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

BRIANNA SOUDER DO (NPI 1780115618) is an individual pediatric cardiology provider in Tyler, Texas, licensed in Texas (V2279) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780115618
Entity TypeIndividualFemale
Primary Taxonomy2080P0202X
Provider Legal NameBRIANNA SOUDERCredential: DO
Location Address909 E SE LOOP 323 STE 360Tyler, TX 75701-9101
Mailing Address909 E Se Loop 323 Ste 360Tyler, TX 75701-9101 · (903) 393-3169 · Fax (903) 508-6154
Phone(903) 393-3169
Fax(903) 508-6154
Sole ProprietorNo
Enumeration DateMarch 22, 2017
Last NPPES UpdateJune 29, 20243 updates tracked since enumeration
NPPES CertifiedJune 29, 2024
✔ NPI 1780115618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in TX · V2279
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 2020-00828 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
909 E SE LOOP 323 STE 360, Tyler, TX 75701
Open in Google Maps ↗

Other Identifiers 2

Other2020-00828NC · North Carolina Medical Board
OtherV2279TX · Texas Medical Board

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Souder 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.

Medicare Billing Reassignment

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

Dallas Physician Medical Services For Children Inc
97 mi
Pediatrics
1935 MEDICAL DISTRICT DR
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 424 clinicians in this Medicare group
NPI 1194153650 (214) 456-7000

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

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

DR. BRIAN S SNARR MD, PHD
Pediatrics (Pediatric Cardiology)
909 E SE LOOP 323 STE 360
TYLER, TX 75701
Smith County (903) 393-3169

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 Brianna Souder's NPI number?

The NPI number for Brianna Souder is 1780115618. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Brianna Souder located?

Brianna Souder practices at 909 E SE Loop 323 Ste 360, Tyler, TX 75701. The listed phone number is (903) 393-3169.

What is Brianna Souder's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Brianna Souder enrolled in Medicare?

Yes. Brianna Souder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Brianna Souder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brianna Souder reassigns Medicare benefits to Dallas Physician Medical Services For Children Inc (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 Brianna Souder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brianna Souder accept?

Health plans from Baylor Scott and White Health Plan, CHRISTUS Health Plan and UnitedHealthcare list Brianna Souder 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 Brianna Souder was last updated on June 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.