Individual provider Active NPI

Brenda K Ewart, DO

  • Family Medicine Physician
  • Flower Mound, TX
National Provider Identifier
1285747030
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H9915 Issued in TX
Practice address
4300 Windsor Centre TRL Ste 200
Flower Mound, TX 75028-1865
Phone
(972) 899-8080
Fax
(972) 899-1865
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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 H9915 TX Primary

Addresses

Primary practice location

4300 Windsor Centre TRL Ste 200
Flower Mound, TX 75028-1865

Mailing address

4300 Windsor Centre TRL Ste 200
Flower Mound, TX 75028-1865
Phone (972) 899-8080

Other identifiers 2

IdentifierTypeStateIssuer
046030504MedicaidTX
046030503MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bewart88570@Direct.TexasHealth.org

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
I20051025000408 TX Practitioner - Family Practice 7012933583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
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)

4300 Windsor Centre TRL
Suite 200
Flower Mound, TX 75028-1865
Phone (972) 899-8080

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H9915TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group CurrentSince Jan 11, 2011 Accepting new patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Jan 11, 2011 Accepting new patients
Texas Health Physicians Group Family Medicine Past Accepting new patients

Locations

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

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

4300 Windsor Centre Trl
Ste 200
Flower Mound, TX 75028
Phone (972) 899-8080

2012 Justin Rd
Ste 100
Lewisville, TX 75077
Phone (972) 317-1110

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

Interoperability endpoints

  • Direct secure messaging: bewart88570@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 and National Provider Directory roles.

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1285747030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WINDSOR CENTRE TRL STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281865",
            "telephone_number": "972-899-8080",
            "fax_number": "972-899-1865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WINDSOR CENTRE TRL STE 200",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281865",
            "telephone_number": "972-899-8080",
            "fax_number": "972-899-1865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWART",
        "first_name": "BRENDA",
        "middle_name": "K",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046030504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046030503",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bewart88570@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "HIE",
            "address_1": "4300 Windsor Centre Trl Ste 200",
            "city": "Flower Mound",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750281865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.