Kevin Barron, PA
Individual provider Active NPI Medical Physician Assistant · Burleson, TX
NPI 1124484043 · NPPES record last updated May 9, 2024
Key facts
- NPI
- 1124484043
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA10473 (TX)
- Practice address
- 1501 SW Wilshire Blvd
Burleson, TX 76028-8715 - Phone
- (817) 295-9400
- Fax
- (817) 295-9408
- NPI assigned
- Jan 7, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190729002828 | TX | Practitioner - Physician Assistant | 2062748031 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Texas, P.a. | Current |
Accepting new patients | |
| Medexpress Urgent Care Texas, P.a. | Past | Accepting new patients |
Locations
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10473 | TX | Yes |
Addresses
Primary practice location
1501 SW Wilshire Blvd
Burleson, TX 76028-8715
Mailing address
PO Box 9101
Coppell, TX 75019-9494
Phone (972) 745-7500
Other practice location 1
5001 S Hulen St
Fort Worth, TX 76132-1968
Phone (817) 361-1928
Other providers in Burleson, TX
- Avery Barber
- Barefoot Beginnings, LLC
- Angela Dawn Barkley
- Alfonso Barnard Barragan
- Heaven Barron
- John E. Barroso
- Barry Bass, MD, PA
- Barry J. Bass
- Khalid Bazir
- Ryan S Beaty
All providers in Burleson, TX · Medical Physician Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.