Individual provider Active NPI

Stephen P Bartold, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Midland, TX
National Provider Identifier
1063544070
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
H7120 Issued in TX
Practice address
4907 Polo Pkwy
Midland, TX 79705-1743
Phone
(432) 570-1518
Fax
(432) 687-6299
NPI assigned
Mar 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H7120 TX
Nuclear Medicine Physician 207U00000X H7120 TX
Nuclear Cardiology Physician 207UN0901X H7120 TX
Nuclear Imaging & Therapy Physician 207UN0902X H7120 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X H7120 TX Primary

Addresses

Primary practice location

4907 Polo Pkwy
Midland, TX 79705-1743

Mailing address

4907 Polo Pkwy
Midland, TX 79705-1743
Phone (432) 570-1518

Other identifiers 2

IdentifierTypeStateIssuer
0030MMOtherTXBCBS OF TEXAS
H7120OtherTXPHYSICIANS PERMIT

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H7120TXMDNuclear Imaging & Therapy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suresh N Gadasalli M D P a Past Accepting new patients
Ector County Hospital District Past Accepting new patients
Basin Neurosurgical and Spine Associates Past Accepting new patients

Organizations & group practices 3

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1063544070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4907 POLO PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797051743",
            "telephone_number": "432-570-1518",
            "fax_number": "432-687-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4907 POLO PKWY",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797051743",
            "telephone_number": "432-570-1518",
            "fax_number": "432-687-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTOLD",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "H7120",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "TX",
            "license": "H7120",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "TX",
            "license": "H7120",
            "primary": false
        },
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "TX",
            "license": "H7120",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "H7120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "0030MM",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PERMIT",
            "identifier": "H7120",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.