DR. BRENT LUCAS TREADAWAY (D.O.) – Emergency Medicine Physician, NPI 1073838488

DR. BRENT LUCAS TREADAWAY (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. Q0583 (TX). The NPI Number for DR. BRENT LUCAS TREADAWAY (D.O.) is 1073838488

Main info

Male
16 Years Of Experience
Name
DR. BRENT LUCAS TREADAWAY (D.O.)
NPI
1073838488
Phone
(800) 994-0371
Address
PO BOX 844658
Enumeration Date
30 March 2010
Last Update Date
14 October 2024

Doctor Profile

Medical School Name
TOURO UN COL OF OSTEOPATHIC MEDICINE, HENDERSON
Secondary Phone
9793375000
Graduation Year
2010 (16 years ago)
PAC ID
1254582786
Group Practice PAC ID
6406151703
Professional Enrollment ID
I20140829002145
Address ID
TX778335413BR700XXPKWY300

Contacts

Secure Messaging
btreadaway793895@direct.sw.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

4,050 EMERGENCY MEDICINE in TX

Provider Addresses for DR. BRENT LUCAS TREADAWAY (D.O.)

  • PO BOX 844658

    DALLAS, TX 752844658

    Phone: (800) 994-0371

    Fax: (254) 215-9722

    Type: Mailing

  • 5245 W HIGHWAY 290

    AUSTIN, TX 787358963

    Phone: (512) 654-2100

    Type: Location

  • 204 CHEROKEE ROSE CIR

    NONE

    GEORGETOWN, TX 786267120

    Phone: (512) 784-0054

    Type: Mailing

  • 2201 S CLEAR CREEK RD

    KILLEEN, TX 765494110

    Phone: (254) 526-7523

    Type: Location

  • 2201 S Clear Creek Rd

    Killeen, TX 765494110

    Phone: (254) 526-7523

    Type: Location

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: 2014-08-29

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
I20140829002145IEmergency 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 75284)

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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: 6406151703View full group profile
NameSpecialtyState
AMANDA ZELINSKI
Emergency MedicineTX
KEVIN PRAFUL PATEL (DO)
-MI
DR. WYNNE BREED (M.D.)
Emergency MedicineMD
SCOTT DIESTE
Emergency MedicineTX
DR. CRAIG REECE II BROCKMAN (MD)
-OK
DR. MARCUS LYNN II SIMS (D.O.)
Emergency MedicineTX
DR. DALLAS WRIGHT (D.O.)
Emergency MedicineTX
DR. CHET DEAN SCHRADER (MD)
Emergency MedicineTX
RICHARD L JR. WHITWORTH (MD)
-TX
SOLISIS DEYNES (MD)
Emergency MedicineTX

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Frequently asked questions

Is there an official ID for DR. BRENT LUCAS TREADAWAY (D.O.) in U.S. healthcare records?
The official identifier for DR. BRENT LUCAS TREADAWAY (D.O.) is NPI 1073838488.
Active or inactive — what applies to DR. BRENT LUCAS TREADAWAY (D.O.)?
You should see DR. BRENT LUCAS TREADAWAY (D.O.) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. BRENT LUCAS TREADAWAY (D.O.)?
DR. BRENT LUCAS TREADAWAY (D.O.)'s specialty line reads Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRENT LUCAS TREADAWAY (D.O.)?
Directory geography for DR. BRENT LUCAS TREADAWAY (D.O.) centers on Dallas, Texas.
Can I trust this NPI listing for DR. BRENT LUCAS TREADAWAY (D.O.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.