Individual provider Active NPI

Adam Strawbridge

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1346928843
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1125513 Issued in TX
Practice address
419 W Southwest Loop 323
Tyler, TX 75701-9429
Phone
(903) 595-8077
NPI assigned
Jul 6, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1125513 TX Primary

Addresses

Primary practice location

419 W Southwest Loop 323
Tyler, TX 75701-9429

Mailing address

4002 Technology Ctr
Longview, TX 75605-2697
Phone (903) 247-0484

Other practice location 1

307 W Upshur Ave
Gladewater, TX 75647-2121
Phone (903) 845-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231222002053 TX Practitioner - Nurse Practitioner 0749630382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phynet, Inc.Group PAC ID 8527038298, 15 clinicians

Practice addresses (Care Compare)

307 W Upshur Ave
Gladewater, TX 75647-2121
Phone (903) 845-2159

Hospital & facility affiliations

  • Onesource Home Care Inc Home health agency, Longview, TX, CCN 679138
  • Accentcare Home Health of Texas Home health agency, Longview, TX, CCN 679090
  • Christus Good Shepherd Medical Center Hospital, Longview, TX, CCN 450032
  • Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1125513TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Functional Medicine Center, LLC CurrentSince Nov 15, 2023 Accepting new patients
Phynet, Inc. Family Medicine CurrentSince May 1, 2024 Accepting new patients
Phynet, Inc. PastSince May 1, 2024 Accepting new patients

Locations

307 W Upshur Ave
Gladewater, TX 75647
Phone (903) 845-2159

4002 Technology Ctr
Longview, TX 75605
Phone (903) 247-0484

419 Wsw Loop 323
Ste 400
Tyler, TX 75701
Phone (903) 595-8077

Organizations & group practices 3

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 4

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": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1346928843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4002 TECHNOLOGY CTR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052697",
            "telephone_number": "903-247-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W SOUTHWEST LOOP 323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757019429",
            "telephone_number": "903-595-8077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 W Upshur Ave",
            "address_purpose": "LOCATION",
            "city": "Gladewater",
            "state": "TX",
            "postal_code": "756472121",
            "country_code": "US",
            "telephone_number": "903-845-2159",
            "fax_number": "903-845-5451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAWBRIDGE",
        "first_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1125513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.