Individual provider Active NPI

Brian Christopher Gutknecht, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1285774810
Registry record updated Jan 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA03065 Issued in TX
Practice address
7211 Preston Rd Ste 1200
Plano, TX 75024
Phone
(469) 303-7000
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA03065 TX
Physician Assistant 363A00000X PA03065 TX Primary

Addresses

Primary practice location

7211 Preston Rd Ste 1200
Plano, TX 75024

Mailing address

7601 Preston Rd
Plano, TX 75024-3214
Phone (469) 303-7000

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
I20050413000794 TX Practitioner - Physician Assistant 4587601307 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA03065TXMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 3, 2021 Accepting new patients
Dallas Physician Medical Services for Children Inc CurrentSince May 1, 2016 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 3, 2021 Accepting new patients

Locations

1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735

1935 Medical District Dr
Unit A
Dallas, TX 75235

420 E 6th St
Ste 202
Odessa, TX 79761
Phone (214) 648-9618

7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300

7211 Preston Rd
Ste 1200
Plano, TX 75024
Phone (469) 303-3000

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

1300 Childrens Way
Ste 130
Prosper, TX 75078
Phone (469) 303-3000

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Interoperability endpoints

  • Direct secure messaging: bgutknecht173615@direct.childrens.com

Organizations & group practices 5

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643414400000",
    "number": "1285774810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 PRESTON RD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243214",
            "telephone_number": "469-303-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 PRESTON RD STE 1200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "469-303-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTKNECHT",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-01-29",
        "certification_date": "2022-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA03065",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.