Individual provider Active NPI

Steven Richardson

  • Body Imaging Physician
  • Grapevine, TX
National Provider Identifier
1194674341
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
R53455 Issued in TX
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

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
R53455TXMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.