Active NPI
Briand Daniel Bounkeu, M.D.
- General Practice Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME145596
- Practice address
- 4055 Valley View LN Ste 400
Dallas, TX 75244-5071 - Phone
- (972) 715-3800
- NPI assigned
- May 29, 2013
- Last updated
- Oct 29, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Physician | 208D00000X | ME145596 | FL | Primary |
Addresses
Primary practice location
4055 Valley View LN Ste 400
Dallas, TX 75244-5071
Mailing address
1856 Adagio Dr
Alpharetta, GA 30009-4816
Phone (678) 992-3814
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3746 Foothill Blvd
B140
Glendale, CA 91214-1740
4055 Valley View LN
Suite 700
Dallas, TX 75244-4910
4055 Valley View LN
Suite 700
Dallas, TX 75244-5045
765 Autumn Close
Alpharetta, GA 30004-4511
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 22 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME145596 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Current | Accepting new patients | |
| Carespot of Orlando Hsi Urgent Care LLC | General Practice | Current | Accepting new patients |
| Shands/Solantic Joint Venture, LLC | Current | Accepting new patients |
Locations
512 E Altamonte Dr
Ste 1000
Altamonte Springs, FL 32701
Phone (321) 319-0212
3840 State Road 436
Ste 1
Apopka, FL 32703
Phone (407) 478-3202
1615 E Highway 50
Ste 200
Clermont, FL 34711
Phone (352) 404-4463
3581 SW Archer Rd
Ste 40
Gainesville, FL 32608
Phone (352) 888-4449
720 SW 2nd Ave
Ste 160A
Gainesville, FL 32601
Phone (352) 240-8000
2 Sun Ct
Ste 400
Peachtree Corners, GA 30092
Phone (615) 721-7020
115 Eastpark Dr
Ste 300
Brentwood, TN 37027
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CareSpot Urgent Care / CareSpot - Clermont
- Urgent Care Clinic/Center
- Orlando, FL
- NPI 1306367503
General Practice
-
- Urgent Care Clinic/Center
- Gainesville, FL
- NPI 1558595223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1336586544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1856 ADAGIO DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300094816",
"telephone_number": "678-992-3814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 VALLEY VIEW LN STE 400",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445071",
"telephone_number": "972-715-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOUNKEU",
"first_name": "BRIAND",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-29",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ME145596",
"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 Oct 29, 2020; 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.