Active NPI
Bhawana Pradhan
- Family Nurse Practitioner
- Lewisville, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP134602
- Practice address
- 502 N Valley Pkwy # 1
Lewisville, TX 75067-3437 - Phone
- (972) 353-8616
- NPI assigned
- Aug 23, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AP134602 | TX | |
| Family Nurse Practitioner | 363LF0000X | AP134602 | TX | Primary |
Addresses
Primary practice location
502 N Valley Pkwy # 1
Lewisville, TX 75067-3437
Mailing address
3015 Cross Timbers Dr
Irving, TX 75060-4713
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bpradhan460969@direct.sw.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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2740 N State Hwy 360
Suite 100
Grand Prairie, TX 75050-6409
Phone (214) 820-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP134602 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Reliant Health, Inc. | Current | Accepting new patients | |
| Jalil a Khan, MD, PA | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3500 Gaston Ave
Dallas, TX 75246
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
2740 N State Highway 360
Ste 100
Grand Prairie, TX 75050
Phone 9726068300 ext. 266
2005 W Park Dr
Ste 300
Irving, TX 75061
Phone (469) 800-1050
3600 Conflans Rd
Ste 200
Irving, TX 75061
Phone (972) 262-2260
2021 N MacArthur Blvd
Ste 115
Irving, TX 75061
Phone (972) 253-4315
502 N Valley Pkwy
Ste 1
Lewisville, TX 75067
Phone (972) 353-8616
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Irving, TX
- NPI 1023427309
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1295252195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 CROSS TIMBERS DR",
"city": "IRVING",
"state": "TX",
"postal_code": "750604713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 N VALLEY PKWY # 1",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750673437",
"telephone_number": "972-353-8616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRADHAN",
"first_name": "BHAWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-23",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "TX",
"license": "AP134602",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134602",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bpradhan460969@direct.sw.org",
"affiliation": "N",
"address_1": "2005 W Park Dr Ste 300",
"city": "Irving",
"state": "TX",
"country_code": "US",
"postal_code": "750612034",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lewisville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.