BRYAN J CARROLL (M.D.) – Dermatology Physician, NPI 1134486582

BRYAN J CARROLL (M.D.) is a healthcare provider. based in Fort worth, Texas. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. Q6500 (TX). The NPI Number for BRYAN J CARROLL (M.D.) is 1134486582

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN J CARROLL (M.D.)
NPI
1134486582
Phone
(682) 885-6248
Address
1129 6th Ave
Enumeration Date
23 April 2012
Last Update Date
10 February 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
8172923376
Graduation Year
2012 (14 years ago)
PAC ID
9830497031
Group Practice PAC ID
9537453790
Professional Enrollment ID
I20160616001062
Address ID
TX761324260FO6900XPKWY301

Contacts

Secure Messaging
bcarroll12826@CookChildrens.direct-ci.com
Secure Messaging
bcarroll@fortworthderm.ezderm.info
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:14State licenses:1Other namesUpdated within 12 months

1,287 DERMATOLOGY in TX

Provider Addresses for BRYAN J CARROLL (M.D.)

  • 1129 6th Ave

    Fort Worth, TX 761044306

    Phone: (682) 885-6248

    Fax: (682) 885-6249

    Type: Location

  • 6900 HARRIS PKWY

    SUITE 200

    FORT WORTH, TX 761324255

    Phone: (817) 292-3376

    Type: Mailing

  • 901 7TH AVE

    FORT WORTH, TX 761042722

    Phone: (682) 885-6248

    Fax: (682) 885-6249

    Type: Location

  • 6900 HARRIS PKWY STE 200

    FORT WORTH, TX 761324260

    Phone: (817) 292-3376

    Fax: (844) 886-8347

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 110 Open Payments records for all available years, with a total value of $3,211.

Total Amount is formed as General ($3,211) + Research ($0) + Ownership ($0) = $3,211.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($966).

Total Amount

$3,211

General + Research + Ownership

Payments

110

Total payment records

General Amount

$3,211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2016-06-16

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
I20160616001062IDermatologyTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,694416$0
99213Established patient office or other outpatient visit, 20-29 minutes814499$0
17000Destruction of precancer skin growth, 1 growth670468$0
11102Biopsy of related skin growth, first growth345280$0
17110Destruction of skin growth, 1-14 growths264208$0
View full utilization report →

Insurance plans in this area (ZIP 76104)

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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: 9537453790View full group profile
NameSpecialtyState
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Is there an official ID for BRYAN J CARROLL (M.D.) in U.S. healthcare records?
The official identifier for BRYAN J CARROLL (M.D.) is NPI 1134486582.
Is there an active status for BRYAN J CARROLL (M.D.)?
For scheduling context, BRYAN J CARROLL (M.D.) is shown as active in the registry.
What kind of doctor is BRYAN J CARROLL (M.D.)?
BRYAN J CARROLL (M.D.) is associated with Dermatology Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for BRYAN J CARROLL (M.D.)?
Travel planning: use Fort Worth, Texas as the reference point for BRYAN J CARROLL (M.D.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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