DR. LISA DANIELLE BROSTROM (MD, FACS) – Plastic Surgery Physician, NPI 1124197173
Plastic Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. LISA DANIELLE BROSTROM (MD, FACS)
3551 ROGER BROOKE DR BLDG 3600
FORT SAM HOUSTON, TX 782344504
Phone: (210) 269-6113
Type: Mailing
5680 Guilford Ave
Indianapolis, IN 462203267
Phone: (317) 536-5967
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $318.
Total Amount is formed as General ($318) + Research ($0) + Ownership ($0) = $318.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Innovation Technologies Inc ($176).
Total Amount
$318
General + Research + Ownership
Payments
7
Total payment records
General Amount
$318
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Innovation Technologies Inc | $176 |
| Mentor Worldwide LLC | $81 |
| TELA Bio, Inc. | $37 |
| Musculoskeletal Transplant Foundation Inc. | $23 |
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: 2019-09-23
PECOS data refreshed: 2026-05-27
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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 78234)
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