Individual provider Active NPI

Bryan James Dulock, CRNA

  • Certified Registered Nurse Anesthetist
  • Decatur, TX
National Provider Identifier
1154518264
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
648519 Issued in TX
Practice address
604 Medical Center Dr
Decatur, TX 76234
Phone
(940) 626-1282
NPI assigned
Oct 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 648519 TX Primary

Addresses

Primary practice location

604 Medical Center Dr
Decatur, TX 76234

Mailing address

259 County Road 3633
Gainesville, TX 76240-6787
Phone (904) 665-2233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080430000358 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547349722 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLCGroup PAC ID 7012045685, 86 clinicians
Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians
Arlington Anesthesia Group PLLCGroup PAC ID 2860798303, 35 clinicians

Practice addresses (Care Compare)

1401 E 8TH St
Weslaco, TX 78596-6640
Phone (956) 968-8567

3315 S Alameda St
Corpus Christi, TX 78411-1820
Phone (214) 687-0001

350 E I
20 Suite 200
Arlington, TX 76018-1119
Phone (817) 784-0222

5501 S Expressway
Suite 77
Harlingen, TX 78550-3213
Phone (956) 365-1000

609 Medical Ctr Dr
Decatur, TX 76234-3836
Phone (940) 627-5921

Hospital & facility affiliations

  • Medical City Denton Hospital, Denton, TX, CCN 450634

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
648519TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2019 Accepting new patients
Premier Anesthesia of Huntsville a Division of Premier Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 21, 2015 Accepting new patients
Arlington Anesthesia Group, PLLC CurrentSince Feb 20, 2019 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2019 Accepting new patients
South Arlington Surgical Providers, LLC CurrentSince Jan 5, 2020 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2008 Accepting new patients

Locations

2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994

350 E Interstate 20
Ste 200
Arlington, TX 76018
Phone (214) 254-4299

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

609 Medical Center Dr
Decatur, TX 76234
Phone (940) 626-1360

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1900 Hospital Blvd
Gainesville, TX 76240
Phone (940) 612-8150

5501 S Expressway 77
Harlingen, TX 78550
Phone (936) 569-9481

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

180 Bear Creek Pkwy
Keller, TX 76248
Phone (817) 337-3671

2704 N Galloway Ave
Ste 102
Mesquite, TX 75150
Phone (972) 961-7171

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

1401 E 8th St
Weslaco, TX 78596
Phone (956) 581-0303

Interoperability endpoints

  • Direct secure messaging: bdulock@yourcarecommunity.org

Organizations & group practices 7

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1154518264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 COUNTY ROAD 3633",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762406787",
            "telephone_number": "904-665-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MEDICAL CENTER DR",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "76234",
            "telephone_number": "940-626-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULOCK",
        "first_name": "BRYAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "648519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.