DR. BRADLEY BRENNER (MD) – Diagnostic Radiology Physician, NPI 1043214901

DR. BRADLEY BRENNER (MD) is a healthcare provider. based in Austin, Texas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. L2152 (TX). The NPI Number for DR. BRADLEY BRENNER (MD) is 1043214901

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRADLEY BRENNER (MD)
NPI
1043214901
Phone
(512) 795-5100
Address
12554 RIATA VISTA CIR
Enumeration Date
9 June 2005
Last Update Date
12 January 2015

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
5125193402
Graduation Year
1996 (30 years ago)
PAC ID
3678476850
Group Practice PAC ID
4880686179
Professional Enrollment ID
I20040128000181
Address ID
TX787595268AU4515XPKWY403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for DR. BRADLEY BRENNER (MD)

  • 12554, Riata Vista Circle, Apple, Austin, Travis County, Texas, 78727, United States

    AUSTIN, TX 787276431

    Phone: (512) 795-5100

    Fax: (512) 795-5122

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-01-28

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
I20040128000181IDiagnostic RadiologyTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast461452$0
74177Ct scan of abdomen and pelvis with contrast249248$0
71045X-ray of chest, 1 view225224$0
72125Ct scan of upper spine without contrast177175$0
71275Ct scan of blood vessels of chest with contrast120119$0
View full utilization report →

Insurance plans in this area (ZIP 78727)

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Provider's Procedures

DR. BRADLEY BRENNER (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front763731
DIAGNOSTIC RADIOLOGYTX71250CT scan chest3939
DIAGNOSTIC RADIOLOGYTX73562X-ray of knee, 3 views2017
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers7978

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: 4880686179View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. BRADLEY BRENNER (MD) using NPI 1043214901?
NPI 1043214901 belongs to DR. BRADLEY BRENNER (MD); compare other details if you need extra assurance.
Is there an active status for DR. BRADLEY BRENNER (MD)?
For scheduling context, DR. BRADLEY BRENNER (MD) is shown as active in the registry.
What kind of doctor is DR. BRADLEY BRENNER (MD)?
DR. BRADLEY BRENNER (MD) is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRADLEY BRENNER (MD)?
Directory geography for DR. BRADLEY BRENNER (MD) centers on Austin, Texas.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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