Individual provider Active NPI

Hung Pham, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bedford, TX
National Provider Identifier
1043940513
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1078765 Issued in TX
Practice address
3901 Airport Fwy
Bedford, TX 76021-6117
Phone
(817) 354-5200
NPI assigned
Jun 16, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 1078765 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1078765 TX Primary

Addresses

Primary practice location

3901 Airport Fwy
Bedford, TX 76021-6117

Mailing address

514 Aster LN
Haslet, TX 76052-2236
Phone (682) 227-9272

Other practice location 1

514 Aster Ln
Haslet, TX 76052-2236
Phone (682) 227-9257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1078765TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brightstar Counseling PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1043940513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 ASTER LN",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760522236",
            "telephone_number": "682-227-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 AIRPORT FWY",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216117",
            "telephone_number": "817-354-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Aster Ln",
            "address_purpose": "LOCATION",
            "city": "Haslet",
            "state": "TX",
            "postal_code": "760522236",
            "country_code": "US",
            "telephone_number": "682-227-9257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHAM",
        "first_name": "HUNG",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1078765",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1078765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.