BRANDON WAYNE VIDRINE (NP) – Family Nurse Practitioner, NPI 1053540187

BRANDON WAYNE VIDRINE (NP) is a healthcare provider. based in Houston, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN109960 (LA). The NPI Number for BRANDON WAYNE VIDRINE (NP) is 1053540187

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON WAYNE VIDRINE (NP)
NPI
1053540187
Phone
(713) 338-5519
Address
909 FROSTWOOD DR STE 1.100
Enumeration Date
10 July 2009
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7137903311
Graduation Year
2009 (17 years ago)
PAC ID
7416003991
Group Practice PAC ID
0840289468
Professional Enrollment ID
I20130716000123
Address ID
TX770302703HO6565XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:16State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for BRANDON WAYNE VIDRINE (NP)

  • 909 FROSTWOOD DR STE 1.100

    HOUSTON, TX 770242301

    Phone: (713) 338-5519

    Type: Mailing

  • 1635 NORTH LOOP W

    HOUSTON, TX 770081532

    Phone: (713) 338-6565

    Type: Location

  • Corporate Boulevard, Lafayette, Lafayette Parish, Louisiana, 70502, United States

    SUITE 201

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • Lafayette General Southwest, 2810, Ambassador Caffery Parkway, Lafayette, Lafayette Parish, Louisiana, 70506, United States

    LAFAYETTE, LA 705065906

    Phone: (800) 893-9698

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $80.

Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.

Last reported payment date: 2023-08-28 • Largest payer in this snapshot: PFIZER INC. ($48).

Total Amount

$80

General + Research + Ownership

Payments

3

Total payment records

General Amount

$80

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-28

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
PFIZER INC.$48
Medtronic, Inc.$32
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: 2013-07-16

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
I20130716000123INurse PractitionerTXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only10397$0
99285Emergency department visit with high level of medical decision making7979$0
99291Critical care, first 30-74 minutes6361$0
99284Emergency department visit with moderate level of medical decision making2626$0
View full utilization report →

Insurance plans in this area (ZIP 77024)

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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: 0840289468View full group profile
NameSpecialtyState
Nurse PractitionerTX
Emergency MedicineNY
Nurse PractitionerTX
Emergency MedicineIL
-OH
Emergency MedicineNY
Nurse PractitionerTX
Emergency Medicine, Pediatric MedicineTX
Nurse PractitionerTX
Emergency MedicineTX

Reviews

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Frequently asked questions

How is BRANDON WAYNE VIDRINE (NP) identified in CMS data?
CMS-hosted NPPES data lists BRANDON WAYNE VIDRINE (NP) with NPI 1053540187.
Is BRANDON WAYNE VIDRINE (NP) still practicing?
BRANDON WAYNE VIDRINE (NP) is currently listed as active in the public NPI registry.
What taxonomy line describes BRANDON WAYNE VIDRINE (NP)?
For research purposes, treat BRANDON WAYNE VIDRINE (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for BRANDON WAYNE VIDRINE (NP)?
BRANDON WAYNE VIDRINE (NP)'s geographic hint is Houston, Texas in our summary view.
Why does BRANDON WAYNE VIDRINE (NP) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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