DR. BRYAN MITCHELL REVELLE DPM NPI 1487861308

NPI Information

  • NPI: 1487861308
  • Provider Name: DR. BRYAN MITCHELL REVELLE, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2840 COLLINGWOOD DRIVE
    ROUND ROCK, TX
    ZIP 78665
  • Phone: (512) 248-0912

Map and Directions

Get Directions

NPI Details

DR. Bryan Mitchell Revelle, DPM is a podiatrist in Round Rock, TX. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Bryan Mitchell Revelle, DPM NPI is 1487861308. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2840 COLLINGWOOD DRIVE
ROUND ROCK, TX
ZIP 78665-655
Phone: (512) 248-0912
Fax: (512) 248-0941

The NPI 1487861308 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient home visit, typically 25 minutes (HCPCS:99348)
  • Removal of skin of fingernail or toenail (HCPCS:11765)
  • New patient home visit, typically 30 minutes (HCPCS:99342)
  • Drainage of blood or fluid accumulation (HCPCS:10140)
  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • Removal of blood accumulation under fingernail or toenail (HCPCS:11740)
  • New patient custodial care facility, group care, or assisted living visit, typically 30 minutes (HCPCS:99325)
  • Simple or single drainage of skin abscess (HCPCS:10060)

The enumeration date for this NPI number is 5/17/2007 and was last updated on 10/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatrist1695TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U92274MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.