Active NPI
Bryan Arnold Dickson, MD
- Pediatric Endocrinology Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- G8080
- Practice address
- 5323 Harry Hines Blvd
Dallas, TX 75390-7208 - Phone
- (214) 730-5437
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 2024040558 | MO | |
| Pediatric Endocrinology Physician | 2080P0205X | G8080 | TX | Primary |
Addresses
Primary practice location
5323 Harry Hines Blvd
Dallas, TX 75390-7208
Mailing address
PO Box 845347
Dallas, TX 75284-5347
Phone (214) 730-5437
Other practice location 1
1965 S Fremont Ave Ste 220
Springfield, MO 65804-2283
Phone (417) 820-0280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128126303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G8080 | TX | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Physicians Referral Service | Past | Accepting new patients |
Locations
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1965 S Fremont Ave
Ste 220
Springfield, MO 65804
Phone (417) 820-0280
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618
333 N Santa Rosa
San Antonio, TX 78207
Phone (210) 704-2190
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Organizations & group practices 10
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.
-
- Pediatrics Physician
- San Antonio, TX
- NPI 1285079764
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Pediatrics Physician
- Plano, TX
- NPI 1598789984
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1104887306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 845347",
"city": "DALLAS",
"state": "TX",
"postal_code": "752845347",
"telephone_number": "214-730-5437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5323 HARRY HINES BLVD",
"city": "DALLAS",
"state": "TX",
"postal_code": "753907208",
"telephone_number": "214-730-5437"
}
],
"practiceLocations": [
{
"address_1": "1965 S Fremont Ave Ste 220",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MO",
"postal_code": "658042283",
"country_code": "US",
"telephone_number": "417-820-0280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DICKSON",
"first_name": "BRYAN",
"middle_name": "ARNOLD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "MO",
"license": "2024040558",
"primary": false
},
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "TX",
"license": "G8080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128126303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.