Lisa Danielle Brostrom, MD, FACS
NPI 1124197173ActiveIndividual· Plastic Surgery· Fort Sam Houston, TX
Plastic Surgery (MD, FACS) in Fort Sam Houston, Texas, licensed in TX, with an NPI issued in November 2006. Part D covered 16 prescriptions written in 2024, 100% of them generic. Revance Therapeutics, Inc. was the largest of 3 companies reporting payments in 2025, $89.02 in all, mostly food and beverage.
Overview
| NPI | 1124197173 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD, FACS |
| Sole proprietor | Yes |
| NPI issued | Nov 6, 2006 |
| Last updated in NPPES | Sep 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Plastic Surgery Primary | 208200000X | L4266 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Order and Referring Only - Plastic and Reconstructive Surgery (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Total drug cost | $108.46 |
| Generic share | 100% of claims |
Industry payments (Open Payments)
- 2025$89.02 · 4 payments from 3 companies
- 2024$236.71 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Revance Therapeutics, Inc. | $44.71 | 2 |
| Abbvie Inc. | $29.31 | 1 |
| Mentor Worldwide LLC | $15.00 | 1 |
What the 2025 payments were for
- Food and Beverage$89.02 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Plastic Surgery providers in Fort Sam Houston
- 1720291941
- 1588879316
- 1881018430