Individual provider Active NPI

Bradford B Pazandak, MD

  • Specialist
  • Dallas, TX
National Provider Identifier
1326045923
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H1821 Issued in TX
Practice address
4505 Harrys LN
Dallas, TX 75229-5405
Phone
(214) 361-1443
Fax
(214) 351-2993
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H1821 TX Primary

Addresses

Primary practice location

4505 Harrys LN
Dallas, TX 75229-5405

Mailing address

4505 Harrys LN
Dallas, TX 75229-5405
Phone (214) 361-1443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H1821TXMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ecsc II PA Specialist Past Accepting new patients
Surgeyecare, Inc. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1326045923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 HARRYS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295405",
            "telephone_number": "214-361-1443",
            "fax_number": "214-351-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 HARRYS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752295405",
            "telephone_number": "214-361-1443",
            "fax_number": "214-351-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZANDAK",
        "first_name": "BRADFORD",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.