NPIMap

Individual provider Active NPI

Jennifer K Bang, MD

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1396830071
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3154 Issued in TX
Practice address
4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047
Phone
(214) 750-5100
Fax
(214) 750-4500
NPI assigned
Oct 4, 2006
Last updated
Oct 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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 M3154 TX Primary

Addresses

Primary practice location

4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047

Mailing address

4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5047
Phone (214) 750-5100

Other identifiers 2

IdentifierTypeStateIssuer
8AD156OtherTXBC/BS
186633703MedicaidTX

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
I20070627000129 TX Practitioner - Family Practice 9638278971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

2000 FM
663 Suite 160
Midlothian, TX 76065-6559
Phone (469) 856-2476

4235 W Northwest Hwy
Suite 400
Dallas, TX 75220-5044
Phone (214) 750-5100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Oct 6, 2008 Accepting new patients
Medhealth Family Medicine CurrentSince Oct 6, 2008 Accepting new patients
Memorial Hermann Neighborhood Health Centers, PLLC Family Medicine PastSince Jul 22, 2025 Accepting new patients
MHS Physicians of Texas Past Accepting new patients

Locations

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

4235 W Northwest Hwy
Ste 400
Dallas, TX 75220
Phone (214) 750-5100

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

Interoperability endpoints

  • Direct secure messaging: jbang14239@dm.mhd.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381449600000",
    "number": "1396830071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 W NORTHWEST HWY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752205047",
            "telephone_number": "214-750-5100",
            "fax_number": "214-750-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 W NORTHWEST HWY",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752205047",
            "telephone_number": "214-750-5100",
            "fax_number": "214-750-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANG",
        "first_name": "JENNIFER",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8AD156",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186633703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.