Breast Recon Specialists, PLLC

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

BREAST RECON SPECIALISTS, PLLC

Practice address

7167 Colleyville Blvd Ste 102
Colleyville, TX 76034-8002

Phone

(817) 484-0169

NPI assigned

Jul 17, 2017

Last updated

Aug 5, 2020By 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

Dr. Jon Ver HalenNPI 1083725972

Title

MD

Phone

(817) 416-8080

Specialties & licenses 1

Addresses

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.

• Jon P Verhalen, MD

  • Plastic and Reconstructive Surgery Physician
  • Colleyville, TX
  • NPI 1083725972
  NPD Authorized official

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1104348614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 WISTERIA WAY",
            "city": "WESTLAKE",
            "state": "TX",
            "postal_code": "762629083",
            "telephone_number": "206-963-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7167 COLLEYVILLE BLVD STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348002",
            "telephone_number": "817-484-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST RECON SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "VER HALEN",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "817-416-8080",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Boone, M.S.
• Brent W Bost, MD
• Jerry J Boyd, DDS
• Bryan Richard Bradford, C.N.
• Steven Branberg, D.D.S.
• Kimberly Ann Brickey
• Bridge2Growth Counseling Services, PLLC
• Tahnee Brown
• Brittany Bond Buchanan, LMFT
• Cuc Bui, O.D.

• Plastic and Reconstructive Surgery Physician in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.