Individual provider Active NPI

Matthew Aaron Woodworth, NP

  • Adult Medicine Physician
  • Burleson, TX
National Provider Identifier
1255993879
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
AP140285 Issued in TX
Practice address
12300 Bear PLZ Ste 408
Burleson, TX 76028-9501
Phone
(817) 585-1768
NPI assigned
Jul 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X AP140285 TX Primary

Addresses

Primary practice location

12300 Bear PLZ Ste 408
Burleson, TX 76028-9501

Mailing address

10541 Mustang Wells Dr
Fort Worth, TX 76126-6461
Phone (817) 733-1317

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190822000239 TX Practitioner - Nurse Practitioner 5890023311 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP140285TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Way Health Solutions PLLC CurrentSince Mar 13, 2021 Accepting new patients
Best Way Health Solutions PLLC CurrentSince Mar 13, 2021 Accepting new patients

Locations

12300 Bear Plz
Ste 408
Burleson, TX 76028
Phone (817) 585-1768

Interoperability endpoints

  • Direct secure messaging: matthew.woodworth@bwhs.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFDCDA/Endpoint/EFDCDA

Organizations & group practices 2

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": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1255993879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10541 MUSTANG WELLS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761266461",
            "telephone_number": "817-733-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12300 BEAR PLZ STE 408",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760289501",
            "telephone_number": "817-585-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODWORTH",
        "first_name": "MATTHEW",
        "middle_name": "AARON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "AP140285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.