NPIMap

Individual provider Active NPI

Brandon Chase McCarty, PAC

  • Physician Assistant
  • Bedford, TX
National Provider Identifier
1346299369
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04744 Issued in TX
Practice address
2425 Highway 121
Bedford, TX 76021-5013
Phone
(817) 540-4477
Fax
(817) 540-5633
NPI assigned
May 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04744 TX Primary

Addresses

Primary practice location

2425 Highway 121
Bedford, TX 76021-5013

Mailing address

2425 Highway 121
Bedford, TX 76021-5013
Phone (817) 540-4477

Other practice location 1

4100 Heritage Ave
Ste 102
Grapevine, TX 76051
Phone (817) 540-4477

Other identifiers 3

IdentifierTypeStateIssuer
205065002MedicaidTX
205065001MedicaidTX
205065003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060405000577 TX Practitioner - Physician Assistant 8628087418 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2425 Hwy 121
Bedford, TX 76021-5013
Phone (817) 540-4477

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.19 of 100Reported as group
Quality
83.43
Promoting interoperability
21
Improvement activities
40
Cost
69.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04744TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Orthopedic Specialists, PLLC Physician Assistant CurrentSince Dec 10, 2019 Accepting new patients
Leeroy McCurley MD PA Current Accepting new patients
Texas Orthopedic Specialists, PLLC Physician Assistant CurrentSince Dec 10, 2019 Accepting new patients
Texas Em-I Medical Services, P.a. Past Accepting new patients
Dallas Anesthesiology Associates, PA Past Accepting new patients
Emcare GLT Emergency Physicians PLLC Past Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

2425 Highway 121
Bedford, TX 76021
Phone (817) 510-4083

3121 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (214) 649-4686

4100 Heritage Ave
Ste 102
Grapevine, TX 76051
Phone (682) 999-8446

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1346299369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 HIGHWAY 121",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215013",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Heritage Ave",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "76051",
            "country_code": "US",
            "telephone_number": "817-540-4477",
            "fax_number": "817-540-5633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTY",
        "first_name": "BRANDON",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205065002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205065001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205065003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.