Individual provider Active NPI

Brenna J Nance, M.D.

  • Emergency Medicine Physician
  • North Richland Hills, TX
National Provider Identifier
1114903150
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J8329 Issued in TX
Practice address
4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371
Phone
(972) 758-3598
NPI assigned
Dec 21, 2005
Last updated
Dec 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J8329 TX Primary

Addresses

Primary practice location

4401 Booth Calloway Rd
North Richland Hills, TX 76180-7371

Mailing address

PO Box 201606
Dallas, TX 75320-1606
Phone (972) 758-3598

Other identifiers 3

IdentifierTypeStateIssuer
137653510MedicaidTX
P00098357OtherTXRAILROAD
84458FOtherTXBCBS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090709000105 TX Practitioner - Emergency Medicine 3274685011 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Kansas City, School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Doc Uptown Urgent Care Center PLLCGroup PAC ID 8729243274, 15 clinicians
CD Urgent Care Center 5, PLLCGroup PAC ID 5698070928, 17 clinicians

Practice addresses (Care Compare)

2909 McKinney Ave
Suite B
Dallas, TX 75204-7413
Phone 21487170007109

3116 W 6TH St
Suite 100
Fort Worth, TX 76107-2731
Phone (817) 984-8687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J8329TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Citydoc Urgent Care Center 2, PLLC CurrentSince Nov 28, 2010 Accepting new patients
CD Urgent Care Center 5, PLLC CurrentSince Jan 4, 2016 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Sep 1, 2003 Accepting new patients
Citydoc Urgent Care Center 3, PLLC CurrentSince Oct 4, 2014 Accepting new patients
City Doc Uptown Urgent Care Center, PLLC CurrentSince Apr 1, 2006 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine Current Accepting new patients
Paul Phillips III, M.D., P.a. Past Accepting new patients
Reclaim Physicians Medical Group Inc Past Accepting new patients
Paradigm Healthcare Associates PLLC Past Accepting new patients

Locations

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

10759 Preston Rd
#200
Dallas, TX 75230
Phone (214) 871-7000

2807 Allen St
Dallas, TX 75204
Phone (469) 442-9792

2909 McKinney Ave
Ste B
Dallas, TX 75204
Phone (214) 871-7000

5301 W Lovers Ln
Ste 109
Dallas, TX 75209
Phone (214) 352-7800

3020 W 7th St
Ste 210
Fort Worth, TX 76107
Phone (817) 984-8687

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: bnance@direct.uspi.com
  • Direct secure messaging: brenna.nance.1@10964.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1114903150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201606",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201606",
            "telephone_number": "972-758-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 BOOTH CALLOWAY RD",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761807371",
            "telephone_number": "972-758-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANCE",
        "first_name": "BRENNA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137653510",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00098357",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "84458F",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

Verify at the official NPI Registry.