Organization Active NPI

Potential Services PLLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • North Richland Hills, TX
National Provider Identifier
1124273222
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
POTENTIAL SERVICES PLLC
Practice address
8801 North Tarrant Parkway
North Richland Hills, TX 79182
Phone
(817) 996-4661
Fax
(866) 366-5096
NPI assigned
Nov 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Jeff Bradford Phelps, MD
Title
President
Phone
(817) 996-4661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X Primary

Addresses

Primary practice location

8801 North Tarrant Parkway
North Richland Hills, TX 79182

Mailing address

PO Box 822635
North Richland Hills, TX 76812
Phone (817) 996-4661

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1226966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1124273222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822635",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "76812",
            "telephone_number": "817-996-4661",
            "fax_number": "866-366-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 NORTH TARRANT PARKWAY",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "79182",
            "telephone_number": "817-996-4661",
            "fax_number": "866-366-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-18",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-996-4661",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Richland Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.