Active NPI
Avram Aaron Bram-Mostyn, D.O.
- Physical Medicine & Rehabilitation Physician
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- P5038
- Practice address
- 850 Central Pkwy E
275
Plano, TX 75074-5561 - Phone
- (972) 881-4688
- Fax
- (972) 881-4609
- NPI assigned
- May 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | P5038 | TX | Primary |
Addresses
Primary practice location
850 Central Pkwy E
275
Plano, TX 75074-5561
Mailing address
850 Central Pkwy E
275
Plano, TX 75074-5561
Phone (972) 881-4688
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8552ND | Other | TX | BCBS |
| P5038 | Other | TX | STATE LICENSE |
| 2035487-02 | Other | TX | GROUP TPI |
| TXB102731 | Other | TX | IND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P5038 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Current | Accepting new patients | |
| Legacy Physiatry Group LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
7460 Warren Pkwy
Ste 160
Frisco, TX 75034
Phone (972) 668-5404
7514 Kingsley St
Houston, TX 77087
Phone (713) 644-8393
850 Central Pkwy E
Ste 275
Plano, TX 75074
1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065
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.
-
- Physical Medicine & Rehabilitation Physician
- Plano, TX
- NPI 1316078769
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538611200000",
"number": "1295094845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 CENTRAL PKWY E",
"address_2": "275",
"city": "PLANO",
"state": "TX",
"postal_code": "750745561",
"telephone_number": "972-881-4688",
"fax_number": "972-881-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 CENTRAL PKWY E",
"address_2": "275",
"city": "PLANO",
"state": "TX",
"postal_code": "750745561",
"telephone_number": "972-881-4688",
"fax_number": "972-881-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAM-MOSTYN",
"first_name": "AVRAM",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-15",
"last_updated": "2018-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "P5038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8552ND",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "P5038",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP TPI",
"identifier": "2035487-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IND",
"identifier": "TXB102731",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.