Bnaz LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BNAZ LLC

Practice address

6548 Crown Forest Dr
Plano, TX 75024-7488

Phone

(516) 425-5822

NPI assigned

Dec 6, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Batool ImtiazNPI 1386973782

Title

Owner

Phone

(516) 425-5822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Batool Imtiaz, M.D.

  • Family Medicine Physician
  • Plano, TX
  • NPI 1386973782
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638748800000",
    "number": "1013675131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 CROWN FOREST DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6548 CROWN FOREST DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247488",
            "telephone_number": "516-425-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNAZ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "IMTIAZ",
        "authorized_official_first_name": "BATOOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-425-5822"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Blum, RD
• Wendy L. Blumberg, RLC,IBCLC
• Scott Lawrence Blumenthal, M.D.
• Bme Dental
• BMP Dental, PA
• BNC Dental (Ace Implant & Family Dentistry of Plano)
• Precious Boateng, ANP
• Bobby Jivnani DDS PA
• Matthew Bober, M.D.
• Wendy Bockelman, NP

• Family Medicine Physician in Plano, TX
• Providers in Plano, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.