NPIMap

Individual provider Active NPI

Tommy Brent Duncan, MD

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1194882258
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5139 Issued in TX
Practice address
3529 Heritage Trace Pkwy
Ste 137
Keller, TX 76248-0970
Phone
(817) 741-7960
Fax
(817) 741-7582
NPI assigned
Jan 1, 2007
Last updated
Dec 8, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5139 TX Primary

Addresses

Primary practice location

3529 Heritage Trace Pkwy
Ste 137
Keller, TX 76248-0970

Mailing address

4504 Boat Club Rd
Suite 800
Fort Worth, TX 76135-7003
Phone (817) 237-4794

Other identifiers 1

IdentifierTypeStateIssuer
188674902MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000605 TX Practitioner - Family Practice 1355442849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Health Physicians GroupGroup PAC ID 4385535954, 1,364 clinicians

Practice addresses (Care Compare)

3529 Heritage Trace Pkwy
Suite 137
Fort Worth, TX 76244-4971
Phone (817) 741-7570

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M5139TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jun 1, 2010 Accepting new patients
Texas Health Physicians Group CurrentSince Jun 1, 2010 Accepting new patients
Tarrant Family Practice P.a Family Medicine Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

3529 Heritage Trace Pkwy
Ste 137
Fort Worth, TX 76244
Phone (817) 741-7570

4504 Boat Club Rd
Ste 800
Ft Worth, TX 76135
Phone (817) 237-0515

Interoperability endpoints

  • Direct secure messaging: tduncan14032@direct.texashealth.org

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1194882258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4504 BOAT CLUB RD",
            "address_2": "SUITE 800",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357003",
            "telephone_number": "817-237-4794",
            "fax_number": "817-237-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY",
            "address_2": "STE 137",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480970",
            "telephone_number": "817-741-7960",
            "fax_number": "817-741-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "TOMMY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188674902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

Verify at the official NPI Registry.