Active NPI
Steven Richardson
- Body Imaging Physician
- Grapevine, TX
National Provider Identifier
1194674341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- R53455
- Practice address
- 4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716 - Phone
- (903) 217-6882
- NPI assigned
- Jan 22, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | R53455 | TX | Primary |
Addresses
Primary practice location
4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716
Mailing address
4100 Heritage Ave Ste 107
Grapevine, TX 76051-5716
Phone (903) 217-6882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R53455 | TX | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trueform Imaging and Wellness LLC | Body Imaging | Current | Accepting new patients |
Locations
4100 Heritage Ave
Ste 107
Grapevine, TX 76051
Phone (214) 506-3464
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1194674341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 HERITAGE AVE STE 107",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515716",
"telephone_number": "903-217-6882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 HERITAGE AVE STE 107",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760515716",
"telephone_number": "903-217-6882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-01-22",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "R53455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.