NPIMap

Individual provider Active NPI

Jennifer Burkholz

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1346651999
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BP10030789 Issued in TX
Practice address
900 8TH Ave
Fort Worth, TX 76104-3902
Phone
(817) 735-2549
NPI assigned
May 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BP10030789 TX Primary

Addresses

Primary practice location

900 8TH Ave
Fort Worth, TX 76104-3902

Mailing address

900 8TH Ave
Fort Worth, TX 76104-3902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200806000391 CO Practitioner - Family Practice 9537431838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mid West Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthews-Vu Medical Group, P.C.Group PAC ID 3072790864, 39 clinicians

Practice addresses (Care Compare)

104 Pro Rodeo Dr
Suite 100
Colorado Springs, CO 80919-2334
Phone (719) 555-0707

4190 E Woodmen Rd
Colorado Springs, CO 80920-8075
Phone (719) 632-4455

Hospital & facility affiliations

  • Uch-Memorial Health System Hospital, Colorado Springs, CO, CCN 060022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q8839TXMDClinical Social Worker
BP10030789TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 6, 2021 Accepting new patients
Matthews-Vu Medical Group, P.C. Current Accepting new patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Oct 21, 2025 Accepting new patients
Matthews-Vu Medical Group, P.C. CurrentSince Oct 6, 2021 Accepting new patients

Locations

4190 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 722-2542

4190 E Woodmen Rd
Ste 100
Colorado Springs, CO 80920
Phone (630) 364-4851

104 Pro Rodeo Dr
Ste 100
Colorado Springs, CO 80919
Phone (719) 522-0707

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

Interoperability endpoints

  • Direct secure messaging: jennifer.burkholz@mvmg.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1346651999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 8TH AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043902",
            "telephone_number": "817-735-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLZ",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10030789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.