Organization Active NPI

Birch Medical & Wellness

  • Multi-Specialty Clinic/Center
  • Bedford, TX
National Provider Identifier
1306582929
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BIRCH MEDICAL & WELLNESS
Practice address
1400 Hospital Pkwy # 200
Bedford, TX 76022-6927
Phone
(214) 960-5681
NPI assigned
May 6, 2022
Last updated
May 10, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Authorized official

Name
Tung Tran, MDNPI 1982788337
Title
Ceo
Phone
(214) 960-5681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1400 Hospital Pkwy # 200
Bedford, TX 76022-6927

Mailing address

1400 Hospital Pkwy # 200
Bedford, TX 76022-6927
Phone (214) 960-5681

National Provider Directory

National Provider Directory

Locations

1400 Hospital Pkwy
Ste 200
Bedford, TX 76022
Phone 214960568175

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652140800000",
    "number": "1306582929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL PKWY # 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226927",
            "telephone_number": "214-960-5681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOSPITAL PKWY # 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226927",
            "telephone_number": "214-960-5681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH MEDICAL & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-960-5681",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.