Active NPI
Potential Services PLLC
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- North Richland Hills, TX
National Provider Identifier
1124273222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 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 DirectoryNPI 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.