P Praxis·MD
● Active Type 1 · Individual

DR. Brett Deatherage, M.D.

Radiology·Kyle, TX· NPI 1669821070 · Enumerated 2016 · 9 years on NPI
Deatherage is 1 of 1 radiology providers in Kyle and 1 of 3776 in Texas.
NPI age
9 years
Enumerated 2016-06-07
Primary specialty
Radiology
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-06-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3776 active radiology providers in Texas.

NPI age
9 years
↓ 10 yr below median (19 yr)
State licenses
1 state
18% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-06Enumerated in NPPES
2016 2026

Where they practice

Practice location
5103 Kyle Center Dr Ste 108
Kyle, TX 786406164
📞 8773243310
Mailing address
5103 Kyle Center Dr Ste 108
Kyle, TX 786406164
📞 8773243310

Specialties

  • Radiology Primary
    A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
    TX license #T50988 taxonomy 2085R0202X

Identifiers

TypeValueNotes
01 (TX) 10057590 PHYSICIANS-IN-TRAINING PERMIT

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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