BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) – Internal Medicine Physician, NPI 1013282375

BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) is a healthcare provider. based in Georgetown, Texas. specializing in INTERNAL MEDICINE, PEDIATRIC MEDICINE. They hold the professional credentials MD, MPH. They hold a License No. R7644 (TX). The NPI Number for BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) is 1013282375

Main info

Male
14 Years Of Experience
Name
BRANDON SHAUN ALLPORT ALTILLO (MD, MPH)
NPI
1013282375
Phone
(512) 686-0207
Address
205 E UNIVERSITY AVE STE 200
Enumeration Date
19 March 2012
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
BAYLOR COLLEGE OF MEDICINE
Secondary Phone
5129789955
Graduation Year
2012 (14 years ago)
PAC ID
3577839992
Group Practice PAC ID
5395802151
Professional Enrollment ID
I20180801001559
Address ID
TX787416411AU2901XDRXX300

Contacts

Secure Messaging
brandon.allport.p1@direct.lscctx.nextgenshare.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

13,290 INTERNAL MEDICINE in TX

Provider Addresses for BRANDON SHAUN ALLPORT ALTILLO (MD, MPH)

  • 205 E UNIVERSITY AVE STE 200

    GEORGETOWN, TX 786266821

    Phone: (512) 686-0207

    Fax: (512) 869-2940

    Type: Mailing

  • 8913 COLLINFIELD DR UNIT 1

    AUSTIN, TX 787586704

    Phone: (877) 800-5722

    Type: Location

  • 2901 MONTOPOLIS DR

    AUSTIN, TX 787416411

    Phone: (512) 978-9901

    Fax: (512) 901-9765

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $21.

Total Amount is formed as General ($21) + Research ($0) + Ownership ($0) = $21.

Last reported payment date: 2023-11-07 • Largest payer in this snapshot: Abbott Laboratories ($21).

Total Amount

$21

General + Research + Ownership

Payments

1

Total payment records

General Amount

$21

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$21
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-08-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180801001559IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78626)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395802151View full group profile
NameSpecialtyState
Family PracticeMI
-TX
Internal MedicineCO
D E R M A T O L O G YTX
Nurse PractitionerNC
-TX
Physician AssistantTX
Family PracticeTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

Can I verify BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) with an NPI only?
You can start verification with NPI 1013282375 for BRANDON SHAUN ALLPORT ALTILLO (MD, MPH), then check state licensing separately.
Does the file indicate BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) is practicing under active NPI?
Directory data currently reports BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) as active.
What healthcare role does BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) hold?
Scheduling teams often label BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) under Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does BRANDON SHAUN ALLPORT ALTILLO (MD, MPH) serve?
BRANDON SHAUN ALLPORT ALTILLO (MD, MPH)'s listing highlights Georgetown, Texas; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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