Individual provider Active NPI

David L Reeve, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1366492233
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E4625 Issued in TX
Practice address
600 S Main St Ste 3.600
Fort Worth, TX 76104-2410
Phone
(817) 870-9990
Fax
(817) 334-0255
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 E4625 TX Primary

Addresses

Primary practice location

600 S Main St Ste 3.600
Fort Worth, TX 76104-2410

Mailing address

600 S Main St Ste 3.600
Fort Worth, TX 76104-2410
Phone (817) 870-9990

Other practice location 1

101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Phone (817) 599-7661

Other practice location 2

101 Crown Pointe Blvd Ste 200
Willow Park, TX 76087-1191
Phone (817) 599-7661

Other practice location 3

2005 Fort Worth Hwy Ste 200
Weatherford, TX 76086-4781
Phone (817) 599-7661

Other identifiers 2

IdentifierTypeStateIssuer
032197801MedicaidTX
BA42OtherTXBLUE CROSS BLUE SHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000113 TX Practitioner - Family Practice 7719027408 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E4625TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Physicians Group Current Accepting new patients
Texas Health Physicians Group Family Medicine CurrentSince Dec 1, 2009 Accepting new patients
Texas Health Physicians Group CurrentSince Dec 1, 2009 Accepting new patients
Texas Health Physicians Group Family Medicine Past Accepting new patients

Locations

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

4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500

600 S Main St
Ste 3600
Fort Worth, TX 76104
Phone (817) 870-9990

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

710 E Anderson St
Weatherford, TX 76086
Phone (817) 598-2130

2005 Fort Worth Hwy
Ste 200
Weatherford, TX 76086
Phone (817) 598-5620

101 Crown Pointe Blvd
Ste 200
Willow Park, TX 76087
Phone (817) 599-7661

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1366492233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 3.600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042410",
            "telephone_number": "817-870-9990",
            "fax_number": "817-334-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAIN ST STE 3.600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042410",
            "telephone_number": "817-870-9990",
            "fax_number": "817-334-0255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Crown Pointe Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760871191",
            "country_code": "US",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Crown Pointe Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Willow Park",
            "state": "TX",
            "postal_code": "760871191",
            "country_code": "US",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 Fort Worth Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760864781",
            "country_code": "US",
            "telephone_number": "817-599-7661",
            "fax_number": "817-599-8408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E4625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032197801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "BA42",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.