Active NPI
Bethany Malone, M.D.
- Colon & Rectal Surgery Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- S4812
- Practice address
- 1325 Pennsylvania Ave Ste 400
Fort Worth, TX 76104-2128 - Phone
- (817) 380-8800
- Fax
- (817) 207-4191
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | S4812 | TX | Primary |
Addresses
Primary practice location
1325 Pennsylvania Ave Ste 400
Fort Worth, TX 76104-2128
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Colorectal Surgery (Proctology)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
505 S Nolen Dr
A
Southlake, TX 76092-9167
Phone (817) 424-1525
Hospital & facility affiliations
- Texas Health Harris Methodist Fort Worth
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 12 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4812 | TX | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Colon & Rectal Surgery | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Sharif Surgical PLLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients |
Locations
1325 Pennsylvania Ave
Ste 400
Fort Worth, TX 76104
Phone (817) 250-5900
909 9th Ave
Ste 401
Ft Worth, TX 76104
Phone (817) 332-0786
601 S Main St
Keller, TX 76248
Phone (817) 741-4347
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
505 S Nolen Dr
#A
Southlake, TX 76092
Phone (817) 424-1525
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Surgical Oncology Physician
- Fort Worth, TX
- NPI 1891927448
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Clinical Medical Laboratory
- Bedford, TX
- NPI 1275739815
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Colon & Rectal Surgery
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Worth, TX
- NPI 1336172105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1093133118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2200",
"fax_number": "214-231-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE STE 400",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042128",
"telephone_number": "817-380-8800",
"fax_number": "817-207-4191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "BETHANY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "S4812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.