Individual provider Active NPI

Michael H. Brophy, MD

  • Psychiatry Physician
  • Bedford, TX
National Provider Identifier
1225096951
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
E0835 Issued in TX
Practice address
2700 Tibbets Dr
Suite 404
Bedford, TX 76022-5928
Phone
(817) 283-6300
Fax
(817) 283-6303
NPI assigned
May 2, 2006
Last updated
Dec 20, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X E0835 TX Primary

Addresses

Primary practice location

2700 Tibbets Dr
Suite 404
Bedford, TX 76022-5928

Mailing address

2700 Tibbets Dr
Suite 404
Bedford, TX 76022-5928
Phone (817) 283-6300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120904000717 TX Practitioner - Psychiatry 9638326200 Practice locations: Arlington, TX; Bedford, TX

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Southwestern Medical School at Dallas, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2700 Tibbets Dr
Suite 404
Bedford, TX 76022-6900
Phone (817) 283-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0835TXMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355961600000",
    "number": "1225096951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR",
            "address_2": "SUITE 404",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225928",
            "telephone_number": "817-283-6300",
            "fax_number": "817-283-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 TIBBETS DR",
            "address_2": "SUITE 404",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760225928",
            "telephone_number": "817-283-6300",
            "fax_number": "817-283-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "MICHAEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2012-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "E0835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.