Brandon Childers, M.D.
Radiology, Vascular & Interventional Radiology in San Antonio, TX. Individual provider (NPI-1).
NPI number1366701567
StatusActive
Last updated in NPPESJul 12, 2018
Details
- NPI
- 1366701567
- Entity type
- Individual (NPI-1)
- Name
- Brandon Childers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 8, 2012
- Last updated
- Jul 12, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | R6366 | TX | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | BP10042836 | TX |
Practice location
8401 Datapoint DrSte 600
San Antonio, TX 78229
Phone 210-616-7790
Mailing address
8401 Datapoint DrSte 600
San Antonio, TX 78229-5907
Other practice locations
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