Nto Physician Partners, PLLC

Organization Active NPI Orthopaedic Surgery Physician · Grapevine, TX

NPI 1114443181 · NPPES record last updated Sep 1, 2023

Key facts

NPI
1114443181
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
Legal business name
NTO PHYSICIAN PARTNERS, PLLC
Practice address
2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone
(817) 481-2121
Fax
(817) 488-4493
NPI assigned
Aug 21, 2017
Organization subpart
No

Authorized official

Name
Michael Ryan Briseno, MD
Title
President
Phone
(817) 481-2121

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20041203000867 TX Part B Supplier - Clinic/Group Practice 2769448430 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Grapevine, TX; Fort Worth, TX
O20171121002425 TX DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2769448430 Practice locations: Fort Worth, TX

National Provider Directory

Locations

1110 Parker Sq
Flower Mound, TX 75028
Phone (972) 724-1707

4501 Heritage Trace Pkwy
#101N
Fort Worth, TX 76244
Phone (817) 481-2121

1600 W College St
#640N
Grapevine, TX 76051
Phone (817) 481-2121

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207X00000X Yes

Addresses

Primary practice location

2535 Ira E Woods Ave
Grapevine, TX 76051-3930

Mailing address

2535 Ira E Woods Ave
Grapevine, TX 76051-3930
Phone (817) 481-2121

Other practice location 1

4501 Heritage Trace Pkwy Ste 101
Fort Worth, TX 76244-8940
Phone (817) 481-2121

Other names

  • Pat A Peters MD, PA Former legal business name

Other providers in Grapevine, TX

All providers in Grapevine, TX · Orthopaedic Surgery Physician in Texas

Sources for this page

Verify at the official NPI Registry.