Individual provider Active NPI

Trevor Bouck, MD

  • Orthopaedic Surgery Physician
  • Flower Mound, TX
National Provider Identifier
1265091581
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
V6879 Issued in TX
Practice address
5000 Long Prairie Rd
Flower Mound, TX 75028-2796
Phone
(972) 440-1776
Fax
(214) 222-6660
NPI assigned
Jun 11, 2019
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X V6879 TX Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X V6879 TX

Addresses

Primary practice location

5000 Long Prairie Rd
Flower Mound, TX 75028-2796

Mailing address

5000 Long Prairie Rd
Flower Mound, TX 75028-2796
Phone (972) 440-1776

Other practice location 1

1234 Fm 407 W Ste 100
Northlake, TX 76226-5734
Phone (972) 420-1776

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
I20250723002734 TX Practitioner - Orthopedic Surgery 1153656442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-2783
Phone (972) 420-1776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V6879TXMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Associates of Flower Mound PLLC Orthopaedic Surgery CurrentSince Sep 1, 2025 Accepting new patients
Orthopedic Associates of Flower Mound PLLC Orthopaedic Surgery Past Accepting new patients

Locations

1234 FM 407 W
Ste 100
Northlake, TX 76226

Interoperability endpoints

  • Direct secure messaging: trevor.bouck.1@15749.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1265091581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282796",
            "telephone_number": "972-440-1776",
            "fax_number": "214-222-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LONG PRAIRIE RD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282796",
            "telephone_number": "972-440-1776",
            "fax_number": "214-222-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1234 Fm 407 W Ste 100",
            "address_purpose": "LOCATION",
            "city": "Northlake",
            "state": "TX",
            "postal_code": "762265734",
            "country_code": "US",
            "telephone_number": "972-420-1776",
            "fax_number": "214-222-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCK",
        "first_name": "TREVOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "V6879",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "TX",
            "license": "V6879",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.