NPIMap

Organization Active NPI

Bent Tree Medicine, PLLC

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1215430756
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BENT TREE MEDICINE, PLLC
Practice address
6839 Communications Pkwy
Plano, TX 75024-5991
Phone
(972) 733-7242
Fax
(972) 733-7257
NPI assigned
Mar 12, 2018
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BENT TREE PSYCHIATRIC ASSOC PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Nancy Donachie, MDNPI 1083689947
Title
Owner
Phone
(972) 733-7242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6839 Communications Pkwy
Plano, TX 75024-5991

Mailing address

1820 Preston Park Blvd Ste 2500
Plano, TX 75093-3674
Phone (972) 733-7242

Other practice location 1

5300 W Plano Pkwy Ste 100
Plano, TX 75093-4851
Phone (972) 733-7242

Other practice location 2

7300 Eldorado Pkwy Ste 225
McKinney, TX 75070-7891
Phone (972) 733-7242

Other practice location 3

1050 Central Expy S Ste 1200
Allen, TX 75013-3167
Phone (972) 954-5728

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180824002492 TX Part B Supplier - Clinic/Group Practice 6204185127 Receives reassigned benefits from 27 practitioners
Practice locations: Southlake, TX; Plano, TX; McKinney, TX; Frisco, TX; Dallas, TX; Allen, TX

National Provider Directory

National Provider Directory
Part of
Bent Tree Psychiatric Assoc

Locations

3500 Oak Lawn Ave
Ste 300
Dallas, TX 75219
Phone (972) 283-1689

12850 Dallas Pkwy
Ste 200
Frisco, TX 75033
Phone (469) 379-8222

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 34

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1215430756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD STE 2500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933674",
            "telephone_number": "972-733-7242",
            "fax_number": "972-733-7257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "972-733-7242",
            "fax_number": "972-733-7257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 W Plano Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750934851",
            "country_code": "US",
            "telephone_number": "972-733-7242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Eldorado Pkwy Ste 225",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750707891",
            "country_code": "US",
            "telephone_number": "972-733-7242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1050 Central Expy S Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750133167",
            "country_code": "US",
            "telephone_number": "972-954-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BENT TREE MEDICINE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BENT TREE PSYCHIATRIC ASSOC PA",
        "enumeration_date": "2018-03-12",
        "last_updated": "2024-07-15",
        "certification_date": "2024-01-26",
        "status": "A",
        "authorized_official_last_name": "DONACHIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-733-7242",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.