Dr Bryan Mitchell Revelle, DPM - Medicare Podiatrist in Round Rock, TX

Dr Bryan Mitchell Revelle, DPM is a medicare enrolled "Podiatrist" provider in Round Rock, Texas. His current practice location is 2840 Collingwood Drive, Round Rock, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 248-0912.

Dr Bryan Mitchell Revelle is licensed to practice in Texas (license number 1695) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487861308.

Contact Information

Dr Bryan Mitchell Revelle, DPM
2840 Collingwood Drive,
Round Rock, TX 78665-5655
(512) 248-0912
(512) 248-0941



Healthcare Provider's Profile

Full NameDr Bryan Mitchell Revelle
GenderMale
SpecialityPodiatrist
Location2840 Collingwood Drive, Round Rock, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487861308
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 10/18/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 6002729530
  • Enrollment ID: I20060329000103

Medical Identifiers

Medical identifiers for Dr Bryan Mitchell Revelle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487861308NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 1695 (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bryan Mitchell Revelle is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bryan Mitchell Revelle, DPM
Po Box 1645,
Round Rock, TX 78680-1645

Ph: (512) 248-0912
Dr Bryan Mitchell Revelle, DPM
2840 Collingwood Drive,
Round Rock, TX 78665-5655

Ph: (512) 248-0912

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