B L Wasson DO PA Internal Medicine

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

B L WASSON DO PA INTERNAL MEDICINE

Doing business as

I Medicine

Practice address

2560 Central Park Ave Ste 140
Flower Mound, TX 75028-1566

Phone

(972) 410-3803

NPI assigned

Aug 22, 2022

Last updated

Mar 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bryan Lee Wasson, DONPI 1972537801

Title

Owner

Phone

(972) 410-3803

Specialties & licenses 1

Addresses

Other names 1

• I Medicine Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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.

• Bryan Lee Wasson, D.O.

  • Internal Medicine Physician
  • Flower Mound, TX
  • NPI 1972537801
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Noel Neyhouse, APRN, FNP

  • Family Nurse Practitioner
  • Garner, NC
  • NPI 1447036918

  TX

  Medicare reassignment Care Compare group NPD
• Regan Nicole Gronkowski, APRN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1770219883
  Medicare reassignment NPD
• Belle Covington, FNP-BC

  • Family Nurse Practitioner
  • Flower Mound, TX
  • NPI 1881518819

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1083332480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE STE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "972-410-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 CENTRAL PARK AVE STE 140",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281566",
            "telephone_number": "972-410-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B L WASSON DO PA INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A",
        "authorized_official_last_name": "WASSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-410-3803",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "URL",
            "affiliation": "N",
            "endpointDescription": "Practice",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2560 Central Park Ave Ste 140",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "I Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Axxess Health Care (Contour Health Care)
• Axxess Health Care Provider (Contour Health Care)
• Axxess Healthcare Provider
• Caitlin Ayres, DPT
• Jeanine Azzo, PA-C
• Back2Life Physical Therapy and Wellness
• Jessica Bacott
• Beverly Badd, PMHNP-BC
• Jennifer Nalini Baggerly, PH.D., LPC-S, RPT-S
• Holly Baggett

• Internal Medicine Physician in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.